TAMMY SUE BARBOUR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

SUE

Last Name

BARBOUR

Business Name

TAMMY SUE BARBOUR

Original Issue Date

12/23/2019

Effective Date

03/24/2020

Expiration Date

08/31/2022

City

WATERLOO

State

Zip

62298

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022