SANDRA M TATE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

TATE

Business Name

SANDRA M TATE

Original Issue Date

11/18/2004

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

04/20/2020