COLLEEN C ROCHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

ROCHE

Business Name

COLLEEN C ROCHE

Original Issue Date

12/29/2020

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026