TAMARA DENISE GORMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027013

License Status

ACTIVE

Business

First Name

TAMARA

Middle

DENISE

Last Name

GORMAN

Business Name

TAMARA DENISE GORMAN

Original Issue Date

03/27/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/04/2026