THEODORE C BROCK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303225

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

BROCK

Business Name

THEODORE C BROCK

Original Issue Date

05/21/1997

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

03/01/2026