AMANDA L COCKRELL-TAPALLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007435

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

COCKRELL-TAPALLA

Business Name

AMANDA L COCKRELL-TAPALLA

Original Issue Date

01/15/2009

Effective Date

06/22/2022

Expiration Date

05/31/2024

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023