TARA M GAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004820

License Status

ACTIVE

Business

First Name

TARA M

Last Name

GAGNER

Business Name

TARA M GAGNER

Original Issue Date

09/23/2003

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026