SALLY A TAMIZUDDIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277004034

License Status

ACTIVE

Business

First Name

SALLY

Middle

Last Name

TAMIZUDDIN

Business Name

SALLY A TAMIZUDDIN

Original Issue Date

03/21/2025

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/04/2026