LISA T BASTIAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BASTIAN

Business Name

LISA T BASTIAN

Original Issue Date

10/24/2014

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026