TARA ANN CAMPO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

TARA

Middle

ANN

Last Name

CAMPO

Business Name

TARA ANN CAMPO

Original Issue Date

12/27/2017

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026