TAMMY LEE ANN VANDERMOLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

TAMMY

Middle

LEE ANN

Last Name

VANDERMOLEN

Business Name

TAMMY LEE ANN VANDERMOLEN

Original Issue Date

02/21/2020

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026