TARA M WHITE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

WHITE

Business Name

TARA M WHITE

Original Issue Date

02/10/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

LITCHFIELD

State

Zip

62056

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026