TIA-MONIQUE F NELSON 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

TIA-MONIQUE

Middle

Last Name

NELSON

Business Name

TIA-MONIQUE F NELSON

Original Issue Date

03/29/2016

Effective Date

05/18/2020

Expiration Date

05/31/2022

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/18/2020