RUSSIA P VEGA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

RUSSIA

Middle

Last Name

VEGA

Business Name

RUSSIA P VEGA

Original Issue Date

12/04/2014

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026