TAMARA M POOLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

TAMARA

Middle

Last Name

POOLE

Business Name

TAMARA M POOLE

Original Issue Date

09/16/2014

Effective Date

08/31/2020

Expiration Date

08/31/2022

City

TINLEY PARK

State

Zip

60477

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2022