LAURA E COLLINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

COLLINS

Business Name

LAURA E COLLINS

Original Issue Date

05/23/2005

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2018