SUZANNE LARA HOLLAND Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

LARA

Last Name

HOLLAND

Business Name

SUZANNE LARA HOLLAND

Original Issue Date

11/16/2011

Effective Date

06/25/2022

Expiration Date

06/30/2024

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025