SCOTT A VAN ASTEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

VAN ASTEN

Business Name

SCOTT A VAN ASTEN

BusinessDBA

SCOTT ALLEN VAN ASTE

Original Issue Date

10/17/2013

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026