TONYA N STAMPER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INACTIVE

Business

First Name

TONYA

Middle

Last Name

STAMPER

Business Name

TONYA N STAMPER

Original Issue Date

06/12/2017

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PALMYRA

State

Zip

63461

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018