TAMARA K YOUNG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

INACTIVE

Business

First Name

TAMARA K

Last Name

YOUNG

Business Name

TAMARA K YOUNG

Original Issue Date

11/19/2004

Effective Date

04/27/2018

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020