THERESE H ROCHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

THERESE H

Last Name

ROCHE

Business Name

THERESE H ROCHE

Original Issue Date

04/03/2008

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026