MARY THOMASMA TACKBARY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

MARY

Middle

THOMASMA

Last Name

TACKBARY

Business Name

MARY THOMASMA TACKBARY

Original Issue Date

12/29/2025

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

OAK PARK

State

Zip

60301

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026