LAVENDER KRISTY I ZARRAGA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

LAVENDER KRISTY

Middle

Last Name

ZARRAGA

Business Name

LAVENDER KRISTY I ZARRAGA

Original Issue Date

04/11/2024

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026