MITA S SASS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

MITA

Middle

Last Name

SASS

Business Name

MITA S SASS

Original Issue Date

07/07/2015

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

HINES

State

Zip

60141

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026