KATIE L TOMARELLI Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INOPERATIVE

Business

First Name

KATIE

Middle

Last Name

TOMARELLI

Business Name

KATIE L TOMARELLI

Original Issue Date

04/14/2020

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

CHESTER

State

Zip

62233

County

RANDOLPH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024