TAMARA PETROVICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024441

License Status

NOT RENEWED

Business

First Name

TAMARA

Last Name

PETROVICH

Business Name

TAMARA PETROVICH

Original Issue Date

01/03/1969

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

AVON PARK

State

Zip

33825

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/15/2005