AMY C LASK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018464

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

LASK

Business Name

AMY C LASK

Original Issue Date

11/20/2018

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2022