LEAH MARIE COLLIGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

MARIE

Last Name

COLLIGAN

Business Name

LEAH MARIE COLLIGAN

Original Issue Date

05/16/2019

Effective Date

08/03/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022