TAMARA L BRECKON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

ACTIVE

Business

First Name

TAMARA

Middle

Last Name

BRECKON

Business Name

TAMARA L BRECKON

Original Issue Date

06/25/2018

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

CARROLLTON

State

Zip

62016

County

GREENE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026