MARK ANDREW ROTERT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

MARK

Middle

ANDREW

Last Name

ROTERT

Business Name

MARK ANDREW ROTERT

Original Issue Date

11/09/2019

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026