DAPHNA M ROSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

DAPHNA

Middle

Last Name

ROSEN

Business Name

DAPHNA M ROSEN

Original Issue Date

03/02/2016

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026