HEIDI AMBER LARDER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

HEIDI

Middle

AMBER

Last Name

LARDER

Business Name

HEIDI AMBER LARDER

Original Issue Date

07/07/2016

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

ZION

State

Zip

60099

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026