DENISE A BOCKWOLDT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

DENISE

Middle

Last Name

BOCKWOLDT

Business Name

DENISE A BOCKWOLDT

Original Issue Date

01/24/2002

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60609

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018