HAROLD TACUBOY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

HAROLD

Last Name

TACUBOY

Business Name

HAROLD TACUBOY

Original Issue Date

12/04/2018

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Delegated Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

03/02/2026