LARISSA MARIE SCHULZE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

MARIE

Last Name

SCHULZE

Business Name

LARISSA MARIE SCHULZE

Original Issue Date

09/22/2017

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021