AMBER LEE LATSCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

LEE

Last Name

LATSCH

Business Name

AMBER LEE LATSCH

Original Issue Date

08/31/2017

Effective Date

05/15/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61107

County

BOONE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022