TIFFANY M ELLIOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

ELLIOTT

Business Name

TIFFANY M ELLIOTT

Original Issue Date

08/28/2015

Effective Date

03/30/2024

Expiration Date

05/31/2026

City

PATTERSON

State

Zip

62078

County

GREENE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026