STEPHANIE NICOLE TILLMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009668

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

TILLMAN

Business Name

STEPHANIE NICOLE TILLMAN

Original Issue Date

07/25/2012

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020