BRADLEY BOCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

BRADLEY

Last Name

BOCK

Business Name

BRADLEY BOCK

Original Issue Date

02/15/2022

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026