STEPHANIE NICOLE TILLMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

TILLMAN

Business Name

STEPHANIE NICOLE TILLMAN

Original Issue Date

12/03/2012

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020