LAURIE S HASKEN 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

LAURIE S

Last Name

HASKEN

Business Name

LAURIE S HASKEN

Original Issue Date

09/11/2015

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025