THERESA A LARSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

LARSON

Business Name

THERESA A LARSON

Original Issue Date

08/05/2024

Effective Date

08/05/2024

Expiration Date

05/31/2026

City

DEERFIELD

State

Zip

60015

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026