TEJON WOODS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

TEJON

Last Name

WOODS

Business Name

TEJON WOODS

Original Issue Date

03/14/2019

Effective Date

03/14/2019

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021