TOMMI AMANDA CARRELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

TOMMI

Middle

AMANDA

Last Name

CARRELL

Business Name

TOMMI AMANDA CARRELL

Original Issue Date

12/09/2021

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026