JULIE L VIVANCO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

JULIE L

Last Name

VIVANCO

Business Name

JULIE L VIVANCO

Original Issue Date

10/24/2025

Effective Date

10/24/2025

Expiration Date

05/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026