ELLEN DEKOLD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

ELLEN

Last Name

DEKOLD

Business Name

ELLEN DEKOLD

Original Issue Date

06/26/2020

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

LOMBARD

State

Zip

60148

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026