TANNA LYNN MCCULLOUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****39

License Status

ACTIVE

Business

First Name

TANNA

Middle

LYNN

Last Name

MCCULLOUGH

Business Name

TANNA LYNN MCCULLOUGH

Original Issue Date

09/27/2024

Effective Date

09/27/2024

Expiration Date

05/31/2026

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

03/02/2026