TINCY THOMAS POOVATHUR 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

TINCY

Middle

THOMAS

Last Name

POOVATHUR

Business Name

TINCY THOMAS POOVATHUR

Original Issue Date

12/01/2011

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026