TATUM J REYNOLDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021803

License Status

ACTIVE

Business

First Name

TATUM

Middle

Last Name

REYNOLDS

Business Name

TATUM J REYNOLDS

Original Issue Date

08/10/2020

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

03/02/2026