TATONYA M ROBERTS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

TATONYA

Middle

Last Name

ROBERTS

Business Name

TATONYA M ROBERTS

Original Issue Date

04/17/2017

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

CENTREVILLE

State

Zip

62207

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026