NICHOLAS RYAN KRUEGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

RYAN

Last Name

KRUEGER

Business Name

NICHOLAS RYAN KRUEGER

Original Issue Date

06/23/2021

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026