STACEY L ROKUSEK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

ROKUSEK

Business Name

STACEY L ROKUSEK

Original Issue Date

11/09/2019

Effective Date

11/09/2019

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021