CAMPSIE ELLEN GROTHENDIECK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

CAMPSIE

Middle

ELLEN

Last Name

GROTHENDIECK

Business Name

CAMPSIE ELLEN GROTHENDIECK

Original Issue Date

05/25/2001

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

GLENVIEW

State

Zip

60025

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026