SARAH SHEPARD PROCKO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

SHEPARD

Last Name

PROCKO

Business Name

SARAH SHEPARD PROCKO

Original Issue Date

01/06/2016

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022