LAUREN E FISHBACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

LAUREN

Middle

Last Name

FISHBACK

Business Name

LAUREN E FISHBACK

Original Issue Date

04/04/2019

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026