TAMMY LOUISE ECKERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

LOUISE

Last Name

ECKERT

Business Name

TAMMY LOUISE ECKERT

Original Issue Date

09/22/2015

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021