BROCK PICHE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

INACTIVE

Business

First Name

BROCK

Last Name

PICHE

Business Name

BROCK PICHE

Original Issue Date

10/26/2023

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60516

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026