CARLY MICHELLE COOPER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

CARLY

Middle

MICHELLE

Last Name

COOPER

Business Name

CARLY MICHELLE COOPER

Original Issue Date

08/17/2022

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026