TANNA LYNN MCCULLOUGH - Advanced Practice Nurse License in Indiana | # 209006703

TANNA LYNN MCCULLOUGH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006703

License Status

INACTIVE

Business

N

First Name

TANNA

Middle

LYNN

Last Name

MCCULLOUGH

Business Name

TANNA LYNN MCCULLOUGH

Original Issue Date

08/07/2007

Effective Date

05/13/2024

Expiration Date

05/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2024