NICOLE JEANINE STRODE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

JEANINE

Last Name

STRODE

Business Name

NICOLE JEANINE STRODE

BusinessDBA

MELLEM

Original Issue Date

11/04/2020

Effective Date

06/16/2022

Expiration Date

06/30/2024

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025