ERIN ELIZABETH LARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

ELIZABETH

Last Name

LARK

Business Name

ERIN ELIZABETH LARK

Original Issue Date

03/04/2015

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2025