KIM AMALIA TAVAJIAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

ACTIVE

Business

First Name

KIM

Middle

AMALIA

Last Name

TAVAJIAN

Business Name

KIM AMALIA TAVAJIAN

Original Issue Date

05/11/2016

Effective Date

11/12/2024

Expiration Date

05/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026