LENA A COLLETTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

INACTIVE

Business

First Name

LENA

Middle

Last Name

COLLETTA

Business Name

LENA A COLLETTA

Original Issue Date

08/30/2016

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/04/2024