TAMARA A BARBA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

NOT RENEWED

Business

First Name

TAMARA A

Last Name

BARBA

Business Name

TAMARA A BARBA

Original Issue Date

04/24/2002

Effective Date

04/24/2002

Expiration Date

05/31/2006

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006