INGRID TATHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

INGRID

Last Name

TATHAM

Business Name

INGRID TATHAM

Original Issue Date

11/15/2010

Effective Date

06/27/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60436

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026