KRISTIN A BOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

BOCK

Business Name

KRISTIN A BOCK

Original Issue Date

07/23/2018

Effective Date

05/31/2022

Expiration Date

06/30/2024

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025