CHRISTINA ETHELYN CODERRE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

ETHELYN

Last Name

CODERRE

Business Name

CHRISTINA ETHELYN CODERRE

Original Issue Date

03/12/2025

Effective Date

03/12/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026