TINA MARIE SCHAFFER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

TINA MARIE

Last Name

SCHAFFER

Business Name

TINA MARIE SCHAFFER

Original Issue Date

04/14/2010

Effective Date

05/02/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2016