UTA JEAN TICHAWA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

UTA JEAN

Last Name

TICHAWA

Business Name

UTA JEAN TICHAWA

Original Issue Date

02/17/2012

Effective Date

04/28/2024

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