EMILY TILLOTSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

EMILY

Last Name

TILLOTSON

Business Name

EMILY TILLOTSON

Original Issue Date

11/13/2019

Effective Date

04/01/2020

Expiration Date

08/31/2022

City

SUGAR GROVE

State

Zip

60554

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022