CARLY ELIZABETH LAMANTIA 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

CARLY

Middle

ELIZABETH

Last Name

LAMANTIA

Business Name

CARLY ELIZABETH LAMANTIA

Original Issue Date

08/07/2017

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60603

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021