DEREK RAY MA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

DEREK

Middle

RAY

Last Name

Business Name

DEREK RAY MA

Original Issue Date

11/21/2023

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026