TAMI S LASALA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

TAMI

Middle

Last Name

LASALA

Business Name

TAMI S LASALA

Original Issue Date

12/22/2014

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026