MADISON W SODERSTRUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

MADISON

Middle

Last Name

SODERSTRUM

Business Name

MADISON W SODERSTRUM

Original Issue Date

09/24/2020

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026