KELLY A LAPEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LAPEN

Business Name

KELLY A LAPEN

Original Issue Date

01/06/2016

Effective Date

03/11/2018

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021