TAMMIE O HENDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

TAMMIE

Middle

Last Name

HENDERSON

Business Name

TAMMIE O HENDERSON

Original Issue Date

06/23/2015

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026