JENNIFER M TARVESTAD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

TARVESTAD

Business Name

JENNIFER M TARVESTAD

Original Issue Date

09/10/2020

Effective Date

06/11/2022

Expiration Date

05/31/2024

City

SAINT CHARLES

State

Zip

60175

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2022