TAREN NICHOLE DEBOLT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410023

License Status

NOT RENEWED

Business

First Name

TAREN

Middle

NICHOLE

Last Name

DEBOLT

Business Name

TAREN NICHOLE DEBOLT

Original Issue Date

04/12/2013

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

FRESNO

State

Zip

93728

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021