STEPHANIE M LARSON 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

STEPHANIE

Middle

Last Name

LARSON

Business Name

STEPHANIE M LARSON

Original Issue Date

02/25/2022

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026