TEQUILA R DAVIS - Registered Nurse License in Indiana | # 041427103

TEQUILA R DAVIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427103

License Status

NOT RENEWED

Business

N

First Name

TEQUILA

Middle

R

Last Name

DAVIS

Business Name

TEQUILA R DAVIS

Original Issue Date

01/20/2015

Effective Date

06/03/2022

Expiration Date

06/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/05/2025