COLLEEN P TAPIA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

TAPIA

Business Name

COLLEEN P TAPIA

Original Issue Date

03/17/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CICERO

State

Zip

60804

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026