TARA M SEIDER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

SEIDER

Business Name

TARA M SEIDER

Original Issue Date

10/10/2014

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026