TIFFANY D STEWART Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

STEWART

Business Name

TIFFANY D STEWART

Original Issue Date

06/12/2018

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

RIVERSIDE

State

Zip

60546

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2020