CHANRACHNA LADIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

CHANRACHNA

Last Name

LADIN

Business Name

CHANRACHNA LADIN

Original Issue Date

09/18/2017

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026