TRICIA R MANN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

TRICIA

Middle

Last Name

MANN

Business Name

TRICIA R MANN

Original Issue Date

03/28/2022

Effective Date

05/25/2024

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026