JORDAN N LAVRENCIK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

JORDAN

Middle

Last Name

LAVRENCIK

Business Name

JORDAN N LAVRENCIK

Original Issue Date

07/08/2022

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

03/02/2026