CAROLLE MALIKA DERRADJI Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INOPERATIVE

Business

First Name

CAROLLE MALIKA

Last Name

DERRADJI

Business Name

CAROLLE MALIKA DERRADJI

Original Issue Date

09/10/2021

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026