TANISHA ANTONIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

TANISHA

Last Name

ANTONIO

Business Name

TANISHA ANTONIO

Original Issue Date

03/11/2021

Effective Date

06/20/2024

Expiration Date

05/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026