AMY SARAH LANGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

AMY

Middle

SARAH

Last Name

LANGE

Business Name

AMY SARAH LANGE

Original Issue Date

04/16/2018

Effective Date

05/27/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022