LISA NICOLE PENA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INACTIVE

Business

First Name

LISA

Middle

NICOLE

Last Name

PENA

Business Name

LISA NICOLE PENA

Original Issue Date

11/20/2018

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60610

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2022