LENA D MODIEH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

LENA

Middle

Last Name

MODIEH

Business Name

LENA D MODIEH

Original Issue Date

06/13/2018

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

HARVEY

State

Zip

60426

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026