RODERICK H SARSABA 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

RODERICK

Middle

Last Name

SARSABA

Business Name

RODERICK H SARSABA

Original Issue Date

10/19/2022

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026