MANKAA B VIFANSI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

MANKAA

Middle

Last Name

VIFANSI

Business Name

MANKAA B VIFANSI

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

05/31/2026

City

WINTHROP HARBOR

State

Zip

60096

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026