ASSEM DITCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

ASSEM

Last Name

DITCH

Business Name

ASSEM DITCH

Original Issue Date

10/17/2025

Effective Date

10/17/2025

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2025