LORI L FENDER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

LORI

Middle

Last Name

FENDER

Business Name

LORI L FENDER

Original Issue Date

12/05/2016

Effective Date

08/14/2022

Expiration Date

05/31/2024

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024