LENA D MODIEH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017130

License Status

ACTIVE

Business

First Name

LENA

Middle

Last Name

MODIEH

Business Name

LENA D MODIEH

Original Issue Date

01/16/2018

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026