HEIDIJO MARIE ELYEA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

HEIDIJO

Middle

MARIE

Last Name

ELYEA

Business Name

HEIDIJO MARIE ELYEA

Original Issue Date

04/18/2017

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2020