TARA J MALINOWSKI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

MALINOWSKI

Business Name

TARA J MALINOWSKI

Original Issue Date

12/12/2019

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026