TIFFANY J KALITA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010752

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

KALITA

Business Name

TIFFANY J KALITA

Original Issue Date

09/25/2013

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

03/15/2018