AMY C LASK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

LASK

Business Name

AMY C LASK

Original Issue Date

02/22/2019

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2022