LATIA RACHELLE SUMMERVILLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

LATIA

Middle

RACHELLE

Last Name

SUMMERVILLE

Business Name

LATIA RACHELLE SUMMERVILLE

Original Issue Date

06/03/2022

Effective Date

04/22/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026