PATIENCE D TABER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

PATIENCE

Middle

Last Name

TABER

Business Name

PATIENCE D TABER

Original Issue Date

08/26/2009

Effective Date

04/01/2012

Expiration Date

05/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014