HEATHER L MONGE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

MONGE

Business Name

HEATHER L MONGE

Original Issue Date

04/09/2020

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

GRAYSLAKE

State

Zip

60030

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026