JENNIFER LYN LANGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYN

Last Name

LANGE

Business Name

JENNIFER LYN LANGE

Original Issue Date

07/19/2016

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

JANESVILLE

State

Zip

53593

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022