NANCY RENEE PROKUP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

NANCY

Middle

RENEE

Last Name

PROKUP

Business Name

NANCY RENEE PROKUP

Original Issue Date

09/20/2019

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026