EMMANUEL J VILLEGAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

Last Name

VILLEGAS

Business Name

EMMANUEL J VILLEGAS

Original Issue Date

11/16/2019

Effective Date

11/16/2019

Expiration Date

09/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021