BETH N DIVIACCHI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

BETH

Middle

Last Name

DIVIACCHI

Business Name

BETH N DIVIACCHI

Original Issue Date

02/22/2007

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/20/2026