TIFFANY J KALITA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

KALITA

Business Name

TIFFANY J KALITA

Original Issue Date

06/17/2014

Effective Date

06/17/2014

Expiration Date

05/31/2016

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

07/11/2016