SALLY A TAMIZUDDIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****69

License Status

ACTIVE

Business

First Name

SALLY

Middle

Last Name

TAMIZUDDIN

Business Name

SALLY A TAMIZUDDIN

Original Issue Date

03/21/2025

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/04/2026