TANYA J MUNGER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

TANYA

Middle

Last Name

MUNGER

Business Name

TANYA J MUNGER

Original Issue Date

09/03/2008

Effective Date

04/21/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/21/2020