MIA DONOGHUE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

MIA

Last Name

DONOGHUE

Business Name

MIA DONOGHUE

Original Issue Date

11/09/2019

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60626

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026