RYAN L DEBROCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

RYAN

Middle

Last Name

DEBROCK

Business Name

RYAN L DEBROCK

Original Issue Date

10/26/2023

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026