SARAH ROCHELLE NIEDERGERKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ROCHELLE

Last Name

NIEDERGERKE

Business Name

SARAH ROCHELLE NIEDERGERKE

Original Issue Date

04/18/2017

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021