TARA LYNN LIVINGSTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

TARA

Middle

LYNN

Last Name

LIVINGSTON

Business Name

TARA LYNN LIVINGSTON

Original Issue Date

03/18/2022

Effective Date

03/18/2022

Expiration Date

05/31/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/18/2022