TAMMY L PIKE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

INOPERATIVE

Business

First Name

TAMMY L

Last Name

PIKE

Business Name

TAMMY L PIKE

Original Issue Date

09/19/2001

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/08/2020