DANIELLE M ROACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

Last Name

ROACH

Business Name

DANIELLE M ROACH

Original Issue Date

02/08/2017

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026