TAMI S LASALA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306876

License Status

ACTIVE

Business

First Name

TAMI

Middle

Last Name

LASALA

Business Name

TAMI S LASALA

Original Issue Date

11/06/1997

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

03/01/2026