KATHERYNE TIFUH AMBA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

KATHERYNE

Middle

TIFUH

Last Name

AMBA

Business Name

KATHERYNE TIFUH AMBA

Original Issue Date

04/25/2023

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026