TRICIA L CORRIGAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

INACTIVE

Business

First Name

TRICIA

Middle

Last Name

CORRIGAN

Business Name

TRICIA L CORRIGAN

Original Issue Date

06/24/2008

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020