TIFFANY ANN CORL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

ANN

Last Name

CORL

Business Name

TIFFANY ANN CORL

Original Issue Date

03/12/2024

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026