TARA M GALAMBOS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

GALAMBOS

Business Name

TARA M GALAMBOS

Original Issue Date

07/27/2015

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

LANSING

State

Zip

60438

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021