MARY KAY LARSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

MARY

Middle

KAY

Last Name

LARSON

Business Name

MARY KAY LARSON

Original Issue Date

03/13/2008

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026