VICKI ROCHELLE COUNTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

ROCHELLE

Last Name

COUNTS

Business Name

VICKI ROCHELLE COUNTS

Original Issue Date

10/19/2006

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/29/2021