TAMEKA R BURRELL 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

TAMEKA

Middle

Last Name

BURRELL

Business Name

TAMEKA R BURRELL

Original Issue Date

07/18/2011

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021