TIFFANY J KALITA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

KALITA

Business Name

TIFFANY J KALITA

Original Issue Date

10/10/2013

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

03/15/2018