PANCHETTA A TANNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101637

License Status

INACTIVE

Business

First Name

PANCHETTA A

Last Name

TANNER

Business Name

PANCHETTA A TANNER

Original Issue Date

12/27/1961

Effective Date

12/27/1961

Expiration Date

05/31/2004

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

10/09/2006