TIFFANY M FERGUSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013649

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

FERGUSON

Business Name

TIFFANY M FERGUSON

Original Issue Date

12/07/2015

Effective Date

05/02/2018

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018