LEIGHANNE L PENA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

LEIGHANNE

Middle

Last Name

PENA

Business Name

LEIGHANNE L PENA

Original Issue Date

11/08/2023

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026