TARA L CRUMBLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010040

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

CRUMBLE

Business Name

TARA L CRUMBLE

Original Issue Date

11/26/2012

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

03/02/2026