CRISTY M LANE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

CRISTY

Middle

Last Name

LANE

Business Name

CRISTY M LANE

Original Issue Date

12/18/2001

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

GREEN VALLEY

State

Zip

61534

County

MASON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026