TIFFANY SMAHA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

TIFFANY

Last Name

SMAHA

Business Name

TIFFANY SMAHA

Original Issue Date

11/12/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026