TRAVIS A TIRPAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011610

License Status

ACTIVE

Business

First Name

TRAVIS

Middle

Last Name

TIRPAK

Business Name

TRAVIS A TIRPAK

Original Issue Date

06/24/2014

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/02/2026