JORDAN TABANIERA GITALAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

JORDAN

Middle

TABANIERA

Last Name

GITALAN

Business Name

JORDAN TABANIERA GITALAN

Original Issue Date

10/04/2021

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026