TIFFANY L DEAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

DEAN

Business Name

TIFFANY L DEAN

Original Issue Date

06/14/2018

Effective Date

09/23/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60644

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2020