TAMMY C SARMIENTO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

SARMIENTO

Business Name

TAMMY C SARMIENTO

Original Issue Date

09/26/2007

Effective Date

05/20/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022