MARIE N VILLANUEVA DOCUMENTO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

MARIE

Middle

Last Name

VILLANUEVA DOCUMENTO

Business Name

MARIE N VILLANUEVA DOCUMENTO

Original Issue Date

01/11/2008

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026