THEODORE C BROCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010570

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

BROCK

Business Name

THEODORE C BROCK

Original Issue Date

07/29/2013

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

03/02/2026