TATIANA ALEXEEV Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INACTIVE

Business

First Name

TATIANA

Last Name

ALEXEEV

Business Name

TATIANA ALEXEEV

Original Issue Date

03/02/2016

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

DEER PARK

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2018