TOBIN JACOB TITO 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

TOBIN

Middle

JACOB

Last Name

TITO

Business Name

TOBIN JACOB TITO

Original Issue Date

11/06/2021

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026