TARA MICHELLE RIDGEWAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019368

License Status

ACTIVE

Business

First Name

TARA

Middle

MICHELLE

Last Name

RIDGEWAY

Business Name

TARA MICHELLE RIDGEWAY

Original Issue Date

04/30/2019

Effective Date

03/06/2025

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/02/2026