TARA GODWIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025542

License Status

ACTIVE

Business

First Name

TARA

Last Name

GODWIN

Business Name

TARA GODWIN

BusinessDBA

TARA HIGAREDA

Original Issue Date

07/19/2022

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026