ANDREA L TIFFIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

TIFFIN

Business Name

ANDREA L TIFFIN

Original Issue Date

03/21/2019

Effective Date

03/21/2019

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021