LA TONYA D ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

LA TONYA

Middle

Last Name

ANDERSON

Business Name

LA TONYA D ANDERSON

Original Issue Date

06/15/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

HOMEWOOD

State

Zip

60430

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026