TAMARA SCAIFE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

TAMARA

Last Name

SCAIFE

Business Name

TAMARA SCAIFE

Original Issue Date

02/16/2017

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022