TAMMY PARAVEE PITTAYATHIKHUN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

TAMMY

Middle

PARAVEE

Last Name

PITTAYATHIKHUN

Business Name

TAMMY PARAVEE PITTAYATHIKHUN

Original Issue Date

05/30/2017

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

METROPOLIS

State

Zip

62960

County

JOHNSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026