LANNEKA WHITE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

LANNEKA

Last Name

WHITE

Business Name

LANNEKA WHITE

Original Issue Date

06/03/2015

Effective Date

04/23/2018

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2018