CONRAD O DUNCKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

CONRAD

Middle

Last Name

DUNCKER

Business Name

CONRAD O DUNCKER

Original Issue Date

08/27/2019

Effective Date

08/27/2019

Expiration Date

09/30/2020

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021