SARA DEBROCK 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

SARA

Last Name

DEBROCK

Business Name

SARA DEBROCK

Original Issue Date

03/04/2022

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

KIRKLAND

State

Zip

60146

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026