TARA N GALLOWAY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019203

License Status

INACTIVE

Business

First Name

TARA

Middle

Last Name

GALLOWAY

Business Name

TARA N GALLOWAY

Original Issue Date

04/03/2019

Effective Date

11/17/2020

Expiration Date

05/31/2022

City

SAINT LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2020