KIM AMALIA TAVAJIAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014079

License Status

ACTIVE

Business

First Name

KIM

Middle

AMALIA

Last Name

TAVAJIAN

Business Name

KIM AMALIA TAVAJIAN

Original Issue Date

03/15/2016

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/02/2026