TALIA C WHITTINGTON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INOPERATIVE

Business

First Name

TALIA

Middle

Last Name

WHITTINGTON

Business Name

TALIA C WHITTINGTON

Original Issue Date

12/24/2020

Effective Date

05/18/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2024