TARA DETHMERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

TARA

Last Name

DETHMERS

Business Name

TARA DETHMERS

Original Issue Date

09/28/2016

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026