TAMMY L CARLSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INACTIVE

Business

First Name

TAMMY

Middle

Last Name

CARLSON

Business Name

TAMMY L CARLSON

Original Issue Date

05/20/2023

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/28/2026