KRISTEN TERESE REPTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

KRISTEN

Middle

TERESE

Last Name

REPTA

Business Name

KRISTEN TERESE REPTA

Original Issue Date

12/16/2024

Effective Date

12/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60647

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/18/2025