SAIFUDDIN TALIB Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

SAIFUDDIN

Last Name

TALIB

Business Name

SAIFUDDIN TALIB

Original Issue Date

04/25/2014

Effective Date

06/16/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60302

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022