TANNA LYNN MCCULLOUGH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006703

License Status

INACTIVE

Business

First Name

TANNA

Middle

LYNN

Last Name

MCCULLOUGH

Business Name

TANNA LYNN MCCULLOUGH

Original Issue Date

08/07/2007

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

VINCENNES

State

Zip

47591

County

KNOX

Ever Disciplined

LastModifiedDate

09/27/2024