JAMES ALBERT BOCKELOH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

ALBERT

Last Name

BOCKELOH

Business Name

JAMES ALBERT BOCKELOH

Original Issue Date

07/08/2016

Effective Date

03/11/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021