CAROL J LANTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

LANTZ

Business Name

CAROL J LANTZ

Original Issue Date

03/23/2018

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

FLOSSMOOR

State

Zip

60422

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021