ELIZABETH N MONTGOMERY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

MONTGOMERY

Business Name

ELIZABETH N MONTGOMERY

Original Issue Date

06/27/2019

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026