LORI A CROSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

LORI

Middle

Last Name

CROSS

Business Name

LORI A CROSS

Original Issue Date

01/13/2015

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

POTOMAC

State

Zip

61865

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026