LETA MARIE VEGA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005087

License Status

INACTIVE

Business

First Name

LETA

Middle

MARIE

Last Name

VEGA

Business Name

LETA MARIE VEGA

Original Issue Date

04/12/2004

Effective Date

04/25/2018

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2018