AMANDA L COCKRELL-TAPALLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

COCKRELL-TAPALLA

Business Name

AMANDA L COCKRELL-TAPALLA

Original Issue Date

01/15/2009

Effective Date

05/24/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023