BRITTANY K LANGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

Last Name

LANGE

Business Name

BRITTANY K LANGE

Original Issue Date

11/13/2017

Effective Date

08/25/2020

Expiration Date

08/31/2022

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022