JENNIFER F LASCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

LASCH

Business Name

JENNIFER F LASCH

Original Issue Date

11/09/2010

Effective Date

03/19/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/14/2022