LEAH G PARKS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

LEAH

Middle

Last Name

PARKS

Business Name

LEAH G PARKS

Original Issue Date

11/06/2021

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026