SHARON E LARSEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

SHARON

Middle

Last Name

LARSEN

Business Name

SHARON E LARSEN

Original Issue Date

06/27/2011

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2018