GRACE G LARSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

GRACE

Middle

Last Name

LARSON

Business Name

GRACE G LARSON

Original Issue Date

10/18/2021

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026