TIFFANY L PAUL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

PAUL

Business Name

TIFFANY L PAUL

Original Issue Date

08/16/2010

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/14/2018