ILSE VEGA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

ILSE

Last Name

VEGA

Business Name

ILSE VEGA

Original Issue Date

11/04/2019

Effective Date

12/16/2020

Expiration Date

08/31/2022

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2024