DEREK PAUL WOLKEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

DEREK

Middle

PAUL

Last Name

WOLKEN

Business Name

DEREK PAUL WOLKEN

Original Issue Date

09/23/2016

Effective Date

06/29/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60639

County

LAKE

Ever Disciplined

LastModifiedDate

06/29/2022