VIVIANA CARBAJAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

INACTIVE

Business

First Name

VIVIANA

Last Name

CARBAJAL

Business Name

VIVIANA CARBAJAL

Original Issue Date

09/24/2019

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60655

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2024