LAUREN E GARDSTROM - Advanced Practice Nurse License in Indiana | # 30*****32

LAUREN E GARDSTROM

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

E

Last Name

GARDSTROM

Business Name

LAUREN E GARDSTROM

Original Issue Date

12/09/2011

Effective Date

07/07/2022

Expiration Date

06/30/2024

State

IN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

02/05/2025