TARA DEDIC HENRIKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009963

License Status

ACTIVE

Business

First Name

TARA

Middle

DEDIC

Last Name

HENRIKSON

Business Name

TARA DEDIC HENRIKSON

Original Issue Date

10/25/2012

Effective Date

03/30/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026