TYLER SOGA Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INOPERATIVE

Business

First Name

TYLER

Last Name

SOGA

Business Name

TYLER SOGA

Original Issue Date

01/15/2025

Effective Date

01/15/2025

Expiration Date

05/31/2026

City

RAYMOND

State

Zip

62560

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/02/2026