VICTORIA LARSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

VICTORIA

Last Name

LARSEN

Business Name

VICTORIA LARSEN

Original Issue Date

08/03/2018

Effective Date

08/03/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021