TIFFANY ROSE ATHEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ROSE

Last Name

ATHEY

Business Name

TIFFANY ROSE ATHEY

Original Issue Date

08/06/2008

Effective Date

08/06/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010