TAMARA VICOVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041500805

License Status

NOT RENEWED

Business

First Name

TAMARA

Last Name

VICOVAN

Business Name

TAMARA VICOVAN

Original Issue Date

09/17/2020

Effective Date

09/17/2020

Expiration Date

08/31/2022

City

HOLLYWOOD

State

Zip

33020

Ever Disciplined

LastModifiedDate

10/14/2022