TINA M MATHEW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

TINA

Middle

Last Name

MATHEW

Business Name

TINA M MATHEW

Original Issue Date

12/15/2017

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026