ANAMAY AYEN ESLETA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

ANAMAY

Middle

AYEN

Last Name

ESLETA

Business Name

ANAMAY AYEN ESLETA

Original Issue Date

05/19/2017

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021