LITO TABERNERO RUFIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

LITO

Middle

TABERNERO

Last Name

RUFIN

Business Name

LITO TABERNERO RUFIN

Original Issue Date

05/21/2024

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

BELLEVILLE

State

Zip

62226

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026