ERIC DANE ROBERTS 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

ERIC

Middle

DANE

Last Name

ROBERTS

Business Name

ERIC DANE ROBERTS

Original Issue Date

12/22/2015

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026