TAMMIE L BLEVINS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

TAMMIE

Middle

Last Name

BLEVINS

Business Name

TAMMIE L BLEVINS

Original Issue Date

12/07/2010

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026