RYAN J TACCONA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

RYAN

Middle

Last Name

TACCONA

Business Name

RYAN J TACCONA

Original Issue Date

11/24/2020

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026