CRISTA LYNN BROKAMP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

CRISTA

Middle

LYNN

Last Name

BROKAMP

Business Name

CRISTA LYNN BROKAMP

Original Issue Date

02/13/2015

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60540

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026