TAMI S LASALA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012349

License Status

ACTIVE

Business

First Name

TAMI

Middle

Last Name

LASALA

Business Name

TAMI S LASALA

Original Issue Date

12/22/2014

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

03/02/2026