TEGAN MARIE ELLIOTT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

TEGAN

Middle

MARIE

Last Name

ELLIOTT

Business Name

TEGAN MARIE ELLIOTT

Original Issue Date

09/27/2017

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

OAK FOREST

State

Zip

60452

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021