VONISHA LASHAWN BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

VONISHA

Middle

LASHAWN

Last Name

BLACK

Business Name

VONISHA LASHAWN BLACK

Original Issue Date

09/25/2025

Effective Date

09/25/2025

Expiration Date

05/31/2026

City

MATTESON

State

Zip

60443

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026