TANYA L STEPHENS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

INOPERATIVE

Business

First Name

TANYA

Middle

Last Name

STEPHENS

Business Name

TANYA L STEPHENS

Original Issue Date

03/01/2013

Effective Date

05/11/2014

Expiration Date

05/31/2016

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2014