DANA MICHELLE ROBERTS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

INOPERATIVE

Business

First Name

DANA

Middle

MICHELLE

Last Name

ROBERTS

Business Name

DANA MICHELLE ROBERTS

Original Issue Date

01/09/2021

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/01/2024