TAMMIE L BLEVINS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

TAMMIE

Middle

Last Name

BLEVINS

Business Name

TAMMIE L BLEVINS

Original Issue Date

09/29/2009

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012