PRACEDES M VERGARA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

PRACEDES M

Last Name

VERGARA

Business Name

PRACEDES M VERGARA

Original Issue Date

01/24/2017

Effective Date

05/07/2018

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60120

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021