TARA M EVANS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

EVANS

Business Name

TARA M EVANS

Original Issue Date

10/02/2023

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026