DANA M VIVONA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

DANA

Middle

Last Name

VIVONA

Business Name

DANA M VIVONA

Original Issue Date

06/15/2016

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026