ROBERT E LEYSAHT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

INACTIVE

Business

First Name

ROBERT E

Last Name

LEYSAHT

Business Name

ROBERT E LEYSAHT

Original Issue Date

04/30/2020

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2025