MICHAEL J LANE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LANE

Business Name

MICHAEL J LANE

Original Issue Date

11/09/2021

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025