LAXMI SREE DESHABATHINI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

LAXMI

Middle

SREE

Last Name

DESHABATHINI

Business Name

LAXMI SREE DESHABATHINI

Original Issue Date

04/20/2017

Effective Date

06/03/2022

Expiration Date

05/31/2024

City

ELMHURST

State

Zip

60126

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023