LAVETTE M GOODMAN GRAHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

LAVETTE

Middle

Last Name

GOODMAN GRAHAM

Business Name

LAVETTE M GOODMAN GRAHAM

Original Issue Date

07/23/2025

Effective Date

07/23/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60640

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026