LYNETTE M CASTRONOVO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

LYNETTE

Middle

Last Name

CASTRONOVO

Business Name

LYNETTE M CASTRONOVO

Original Issue Date

12/19/2006

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022