TAMARA JANICE SHASTEEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

TAMARA

Middle

JANICE

Last Name

SHASTEEN

Business Name

TAMARA JANICE SHASTEEN

Original Issue Date

04/29/2023

Effective Date

04/29/2023

Expiration Date

05/31/2024

City

SAINT CHARLES

State

Zip

60174

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023