SALLY A TAMIZUDDIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025080

License Status

INACTIVE

Business

First Name

SALLY

Middle

Last Name

TAMIZUDDIN

Business Name

SALLY A TAMIZUDDIN

Original Issue Date

04/07/2022

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/21/2025