RODERICK L WARREN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

RODERICK

Middle

Last Name

WARREN

Business Name

RODERICK L WARREN

Original Issue Date

01/14/2015

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026