NELSON PALARPALAR TAMALA JR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

INACTIVE

Business

First Name

NELSON

Middle

PALARPALAR

Last Name

TAMALA

Suffix

Business Name

NELSON PALARPALAR TAMALA JR

Original Issue Date

01/11/2017

Effective Date

08/31/2020

Expiration Date

08/31/2022

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022