TAMARRA L SUBYANTORO - Advanced Practice Nurse License in Illinois | # 209019900

TAMARRA L SUBYANTORO

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019900

License Status

ACTIVE

Business

N

First Name

TAMARRA

Middle

L

Last Name

SUBYANTORO

Business Name

TAMARRA L SUBYANTORO

Original Issue Date

08/22/2019

Effective Date

04/07/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2026