BETHANY SUSANNE LACHENEY 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

BETHANY

Middle

SUSANNE

Last Name

LACHENEY

Business Name

BETHANY SUSANNE LACHENEY

Original Issue Date

12/02/2019

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