TAMARA LEE WILFONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014005

License Status

INACTIVE

Business

First Name

TAMARA LEE

Last Name

WILFONG

Business Name

TAMARA LEE WILFONG

Original Issue Date

03/08/2016

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/17/2025