TIFFANY NICOLE YOUTZY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

YOUTZY

Business Name

TIFFANY NICOLE YOUTZY

Original Issue Date

05/09/2017

Effective Date

03/26/2020

Expiration Date

08/31/2022

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022