LORI A SHORT 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

LORI A

Last Name

SHORT

Business Name

LORI A SHORT

Original Issue Date

10/18/2021

Effective Date

05/09/2024

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