TIFFANY L HUMMEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

HUMMEL

Business Name

TIFFANY L HUMMEL

Original Issue Date

10/20/2020

Effective Date

04/27/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2024