JULIE TEA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

JULIE

Last Name

TEA

Business Name

JULIE TEA

Original Issue Date

01/31/2019

Effective Date

06/25/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60639

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022