RAISA MIA D TRIPLITT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

RAISA MIA

Middle

Last Name

TRIPLITT

Business Name

RAISA MIA D TRIPLITT

Original Issue Date

07/15/2023

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026