LAUREN E GARDSTROM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

GARDSTROM

Business Name

LAUREN E GARDSTROM

Original Issue Date

12/09/2011

Effective Date

07/07/2022

Expiration Date

06/30/2024

City

DYER

State

Zip

46311

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025