TARA RACZKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008474

License Status

NOT RENEWED

Business

First Name

TARA

Last Name

RACZKA

Business Name

TARA RACZKA

Original Issue Date

11/10/2010

Effective Date

05/18/2012

Expiration Date

05/31/2014

City

ANTHEM

State

Zip

85086

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/03/2014