LOLA MARIE PRINCE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INOPERATIVE

Business

First Name

LOLA

Middle

MARIE

Last Name

PRINCE

Business Name

LOLA MARIE PRINCE

Original Issue Date

06/17/2003

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020