ELENA M SANROMA-BASCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

ELENA

Middle

Last Name

SANROMA-BASCH

Prefix

Business Name

ELENA M SANROMA-BASCH

Original Issue Date

10/02/2025

Effective Date

10/02/2025

Expiration Date

05/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026