TRAVIS A TIRPAK 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

TRAVIS

Middle

Last Name

TIRPAK

Business Name

TRAVIS A TIRPAK

Original Issue Date

09/17/2014

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026