KRISTIN L LATTANZIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

KRISTIN L

Last Name

LATTANZIO

Business Name

KRISTIN L LATTANZIO

Original Issue Date

12/21/2017

Effective Date

03/08/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2026