LETA MARIE VEGA 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

LETA

Middle

MARIE

Last Name

VEGA

Business Name

LETA MARIE VEGA

Original Issue Date

05/17/2012

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2018