TARA COURTNEY CALLOW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

TARA

Middle

COURTNEY

Last Name

CALLOW

Business Name

TARA COURTNEY CALLOW

Original Issue Date

11/17/2025

Effective Date

11/17/2025

Expiration Date

05/31/2026

City

NEW YORK

State

Zip

10023

County

NEW YORK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026