TANGEE X MOSCOSO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

TANGEE

Middle

Last Name

MOSCOSO

Business Name

TANGEE X MOSCOSO

Original Issue Date

09/26/2014

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

STREAMWOOD

State

Zip

60107

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2018