JENNIFER M TARVESTAD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

TARVESTAD

Business Name

JENNIFER M TARVESTAD

Original Issue Date

11/27/2019

Effective Date

11/27/2019

Expiration Date

09/30/2020

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021