LANNY T LE

Business Entity
ACTIVE

Advanced Practice Nurse

ADV PRACTICE NURSE CONTROL SUB

30*****89

ACTIVE

N

LANNY

T

LE

LANNY T LE

01/12/2004

06/25/2024

05/31/2026

GLEN ELLYN

IL

60137

DUPAGE

N

03/02/2026