HANNELI MARIA NIELO FANEGA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

HANNELI MARIA

Middle

NIELO

Last Name

FANEGA

Business Name

HANNELI MARIA NIELO FANEGA

Original Issue Date

03/29/2016

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021