REBECCA WILLIAMS DODICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

WILLIAMS

Last Name

DODICK

Business Name

REBECCA WILLIAMS DODICK

Original Issue Date

01/22/2019

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021