TYLER ANTHONY CHARLES DAVIS-SANDFOSS 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

TYLER

Middle

ANTHONY CHARLES

Last Name

DAVIS-SANDFOSS

Business Name

TYLER ANTHONY CHARLES DAVIS-SANDFOSS

Original Issue Date

01/15/2020

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026