TINA MARIE RUCKER 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

TINA

Middle

MARIE

Last Name

RUCKER

Business Name

TINA MARIE RUCKER

Original Issue Date

04/15/2025

Effective Date

04/15/2025

Expiration Date

05/31/2026

City

TRENTON

State

Zip

62293

County

CLINTON

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026