TIFFANY L CUPP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

CUPP

Business Name

TIFFANY L CUPP

Original Issue Date

09/04/2012

Effective Date

09/04/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014