TAMI L BOREN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INACTIVE

Business

First Name

TAMI

Middle

Last Name

BOREN

Business Name

TAMI L BOREN

Original Issue Date

03/13/2019

Effective Date

09/24/2020

Expiration Date

05/31/2022

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

09/24/2020