ERIN FORSTROM-DALY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

ERIN

Last Name

FORSTROM-DALY

Business Name

ERIN FORSTROM-DALY

Original Issue Date

10/17/2016

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

LONG GROVE

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026