JUANATA KANONG MUA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

ACTIVE

Business

First Name

JUANATA

Middle

KANONG

Last Name

MUA

Business Name

JUANATA KANONG MUA

Original Issue Date

03/13/2024

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026