MARLENE C TANG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

MARLENE

Middle

Last Name

TANG

Business Name

MARLENE C TANG

Original Issue Date

08/02/2007

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2018