HEATHER MARIE LA GRIPPE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MARIE

Last Name

LA GRIPPE

Business Name

HEATHER MARIE LA GRIPPE

Original Issue Date

12/09/2014

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021