BASIRAT ROMOKE BALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

BASIRAT

Middle

ROMOKE

Last Name

BALE

Business Name

BASIRAT ROMOKE BALE

Original Issue Date

03/31/2020

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026