EKI O DRAKE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INOPERATIVE

Business

First Name

EKI

Middle

Last Name

DRAKE

Business Name

EKI O DRAKE

Original Issue Date

02/21/2019

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2024