TAMMIE J BUZAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

TAMMIE J

Last Name

BUZAN

Business Name

TAMMIE J BUZAN

Original Issue Date

10/28/2014

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021