CARLY ELIZABETH LAMANTIA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011968

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

ELIZABETH

Last Name

LAMANTIA

Business Name

CARLY ELIZABETH LAMANTIA

Original Issue Date

10/01/2014

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021