STEPHANIE L BRODERICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

BRODERICK

Business Name

STEPHANIE L BRODERICK

Original Issue Date

03/11/2016

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

AURORA

State

Zip

60506

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026