TANYA MICHELLE NEWLOVE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

MICHELLE

Last Name

NEWLOVE

Business Name

TANYA MICHELLE NEWLOVE

Original Issue Date

08/14/2015

Effective Date

05/13/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61636

County

SAINT CLAIR

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025