LACIE D SCHULTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

LACIE

Middle

Last Name

SCHULTZ

Business Name

LACIE D SCHULTZ

Original Issue Date

09/11/2012

Effective Date

06/03/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022