LISA KENNEDY RADVILLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

LISA KENNEDY

Last Name

RADVILLE

Business Name

LISA KENNEDY RADVILLE

Original Issue Date

11/01/2006

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Delegated Controlled Substance Schedule

II III V

Ever Disciplined

LastModifiedDate

03/02/2026