MICHELLE L DELA PENA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

DELA PENA

Business Name

MICHELLE L DELA PENA

Original Issue Date

04/30/2020

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60563

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/20/2024