TAMARA L WOJCIECHOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

TAMARA L

Last Name

WOJCIECHOWSKI

Business Name

TAMARA L WOJCIECHOWSKI

Original Issue Date

01/28/2008

Effective Date

09/08/2020

Expiration Date

08/31/2022

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022