LISA FONTANINI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

LISA

Last Name

FONTANINI

Business Name

LISA FONTANINI

Original Issue Date

10/08/2023

Effective Date

10/24/2024

Expiration Date

05/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026