DAHIANA PROKOP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

DAHIANA

Last Name

PROKOP

Business Name

DAHIANA PROKOP

Original Issue Date

02/27/2023

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026