TANYA KIDANDI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

TANYA

Last Name

KIDANDI

Business Name

TANYA KIDANDI

Original Issue Date

10/02/2017

Effective Date

09/18/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022