LANAY LORENE SAMUELSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

LANAY

Middle

LORENE

Last Name

SAMUELSON

Business Name

LANAY LORENE SAMUELSON

Original Issue Date

09/10/2012

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60641

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025