GYNGER N LENTZ 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

GYNGER

Middle

Last Name

LENTZ

Business Name

GYNGER N LENTZ

Original Issue Date

11/28/2022

Effective Date

06/12/2024

Expiration Date

05/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026