ANTHONY V VILLA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

VILLA

Business Name

ANTHONY V VILLA

Original Issue Date

10/29/2009

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

WHEATON

State

Zip

60189

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025