TYLER B VANDEROSTYNE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INOPERATIVE

Business

First Name

TYLER

Middle

Last Name

VANDEROSTYNE

Business Name

TYLER B VANDEROSTYNE

Original Issue Date

02/18/2020

Effective Date

03/19/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2022