TARA K FANNAN - Registered Nurse License in Massachusetts | # 041408521

TARA K FANNAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041408521

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

K

Last Name

FANNAN

Business Name

TARA K FANNAN

Original Issue Date

02/14/2013

Effective Date

03/13/2018

Expiration Date

09/30/2020

State

MA

Ever Disciplined

N

LastModifiedDate

01/14/2021