TAMMY L DUBOSE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

TAMMY

Middle

Last Name

DUBOSE

Business Name

TAMMY L DUBOSE

Original Issue Date

01/08/2024

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026