CARRIE ANNE HAUCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

ACTIVE

Business

First Name

CARRIE

Middle

ANNE

Last Name

HAUCK

Business Name

CARRIE ANNE HAUCK

Original Issue Date

04/05/2021

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026