TIFFANY M FERGUSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

FERGUSON

Business Name

TIFFANY M FERGUSON

Original Issue Date

03/17/2016

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2018