SULLY L VEGA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

SULLY

Middle

Last Name

VEGA

Business Name

SULLY L VEGA

Original Issue Date

06/03/2022

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026