MA THERESA P TAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077402

License Status

INACTIVE

Business

First Name

MA THERESA

Middle

Last Name

TAN

Business Name

MA THERESA P TAN

Original Issue Date

05/01/1995

Effective Date

01/18/2005

Expiration Date

01/31/2005

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005