GRANT TYLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

GRANT

Last Name

TYLER

Business Name

GRANT TYLER

Original Issue Date

06/29/2023

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2025