TIFFANY CLAIRE WAKIM 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

TIFFANY

Middle

CLAIRE

Last Name

WAKIM

Business Name

TIFFANY CLAIRE WAKIM

Original Issue Date

10/20/2023

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026