MIRIAM B TAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041267037

License Status

INACTIVE

Business

First Name

MIRIAM B

Last Name

TAN

Business Name

MIRIAM B TAN

Original Issue Date

03/03/1992

Effective Date

03/03/1992

Expiration Date

05/31/2006

City

PEORIA

State

Zip

85345

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006