SANDRA M TATE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005279

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

TATE

Business Name

SANDRA M TATE

Original Issue Date

09/15/2004

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

CENTRALIA

State

Zip

62801

Ever Disciplined

LastModifiedDate

04/20/2020