SAMANTHA M DEBERRY 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

SAMANTHA

Middle

Last Name

DEBERRY

Business Name

SAMANTHA M DEBERRY

Original Issue Date

03/30/2022

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60661

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026