DEREK RAY MA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

DEREK

Middle

RAY

Last Name

Business Name

DEREK RAY MA

Original Issue Date

12/10/2024

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

OAK PARK

State

Zip

60302

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026