JACQUELINE A TULLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

JACQUELINE A

Last Name

TULLEY

Business Name

JACQUELINE A TULLEY

Original Issue Date

07/12/2006

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022