TELVA TILLEY URBAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

TELVA

Middle

TILLEY

Last Name

URBAN

Business Name

TELVA TILLEY URBAN

Original Issue Date

12/31/2013

Effective Date

05/31/2022

Expiration Date

06/30/2024

City

BROOKFIELD

State

Zip

60513

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025