TANYA J MUNGER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007248

License Status

INACTIVE

Business

First Name

TANYA

Middle

Last Name

MUNGER

Business Name

TANYA J MUNGER

Original Issue Date

09/03/2008

Effective Date

04/21/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/21/2020