ERICA SLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

ERICA

Last Name

SLACK

Business Name

ERICA SLACK

Original Issue Date

11/17/2020

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026