TARA M WHITE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INOPERATIVE

Business

First Name

TARA

Middle

Last Name

WHITE

Business Name

TARA M WHITE

Original Issue Date

10/18/2021

Effective Date

06/03/2022

Expiration Date

05/31/2024

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/03/2024