TARA MARIE DILLON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INACTIVE

Business

First Name

TARA

Middle

MARIE

Last Name

DILLON

Business Name

TARA MARIE DILLON

Original Issue Date

03/21/2016

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2025