ADRIANA VANTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INACTIVE

Business

First Name

ADRIANA

Last Name

VANTA

Business Name

ADRIANA VANTA

Original Issue Date

10/17/2019

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2025