CANDICE PIELAGO APHAIVONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

CANDICE

Middle

PIELAGO

Last Name

APHAIVONG

Business Name

CANDICE PIELAGO APHAIVONG

Original Issue Date

01/22/2019

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

ELGIN

State

Zip

60120

County

KANE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026