KATIE L TANNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

INACTIVE

Business

First Name

KATIE

Middle

Last Name

TANNER

Business Name

KATIE L TANNER

Original Issue Date

04/29/2019

Effective Date

09/22/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2020