TAMARA M HARDWICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

TAMARA

Middle

Last Name

HARDWICK

Business Name

TAMARA M HARDWICK

Original Issue Date

10/02/2017

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026