CARRIE S TUCKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

TUCKER

Business Name

CARRIE S TUCKER

Original Issue Date

07/27/2010

Effective Date

04/10/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016