TARA A TOPPER 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

TARA

Middle

Last Name

TOPPER

Business Name

TARA A TOPPER

Original Issue Date

03/30/2015

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026