TIFFANY J PORTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

PORTER

Business Name

TIFFANY J PORTER

Original Issue Date

04/26/2017

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

SAINT CHARLES

State

Zip

60174

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026