TAJ RAMALLIE PIZ GUBATANGA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024958

License Status

ACTIVE

Business

First Name

TAJ RAMALLIE

Middle

PIZ

Last Name

GUBATANGA

Business Name

TAJ RAMALLIE PIZ GUBATANGA

Original Issue Date

03/24/2022

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/25/2026