DANIELLE M LARSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

LARSEN

Business Name

DANIELLE M LARSEN

Original Issue Date

10/18/2022

Effective Date

10/18/2022

Expiration Date

06/30/2024

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025