TARA DEVILLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022969

License Status

INACTIVE

Business

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

City

SAN FRANCISCO

State

Zip

94111

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/08/2021