ELISE DIANE LAUDERDALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

ELISE

Middle

DIANE

Last Name

LAUDERDALE

Business Name

ELISE DIANE LAUDERDALE

Original Issue Date

12/08/2016

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026