TIFFANY J KALITA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

KALITA

Business Name

TIFFANY J KALITA

Original Issue Date

10/10/2013

Effective Date

03/24/2016

Expiration Date

05/31/2018

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

07/19/2018