VINCENT M BOTTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INACTIVE

Business

First Name

VINCENT

Middle

Last Name

BOTTA

Business Name

VINCENT M BOTTA

Original Issue Date

07/21/2014

Effective Date

08/05/2020

Expiration Date

08/31/2022

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2022