TIFFANY A SWEENEY 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

TIFFANY

Middle

Last Name

SWEENEY

Business Name

TIFFANY A SWEENEY

Original Issue Date

08/19/2021

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2025