LESLIE G VILLALOBOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INACTIVE

Business

First Name

LESLIE

Middle

Last Name

VILLALOBOS

Business Name

LESLIE G VILLALOBOS

Original Issue Date

11/09/2019

Effective Date

06/09/2022

Expiration Date

05/31/2024

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

03/31/2023