MARY ELIZABETH LENTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

LENTZ

Business Name

MARY ELIZABETH LENTZ

Original Issue Date

07/26/2016

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021