THERESA M LARSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

LARSON

Business Name

THERESA M LARSON

Original Issue Date

06/09/2011

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026