CARMEN LYNNETTE TAYLOR MASON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

CARMEN

Middle

LYNNETTE

Last Name

TAYLOR MASON

Business Name

CARMEN LYNNETTE TAYLOR MASON

Original Issue Date

10/04/2017

Effective Date

06/27/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026