CARLY A UNDERKOFFLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

CARLY

Middle

Last Name

UNDERKOFFLER

Business Name

CARLY A UNDERKOFFLER

Original Issue Date

09/03/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026