TARA DEVILLE - Advanced Practice Nurse License in California | # 209022969

TARA DEVILLE

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022969

License Status

INACTIVE

Business

N

First Name

TARA

Last Name

DEVILLE

Business Name

TARA DEVILLE

BusinessDBA

TARA BOUDOIN

Original Issue Date

03/05/2021

Effective Date

03/05/2021

Expiration Date

05/31/2022

State

CA

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

03/08/2021