SALLY A TAMIZUDDIN - Advanced Practice Nurse License in Illinois | # 209025080

SALLY A TAMIZUDDIN

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025080

License Status

INACTIVE

Business

N

First Name

SALLY

Middle

A

Last Name

TAMIZUDDIN

Business Name

SALLY A TAMIZUDDIN

Original Issue Date

04/07/2022

Effective Date

03/05/2024

Expiration Date

05/31/2026

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

03/21/2025