ROBERT JOHN DERBY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

ROBERT

Middle

JOHN

Last Name

DERBY

Business Name

ROBERT JOHN DERBY

Original Issue Date

10/06/2025

Effective Date

10/06/2025

Expiration Date

05/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026