CARLA M LANTZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

CARLA

Middle

Last Name

LANTZ

Business Name

CARLA M LANTZ

Original Issue Date

12/08/2021

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026