ANDREA L TIRPAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

TIRPAK

Business Name

ANDREA L TIRPAK

Original Issue Date

11/29/2004

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026