TANJA R ERVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185513

License Status

NOT RENEWED

Business

First Name

TANJA R

Last Name

ERVIN

Business Name

TANJA R ERVIN

Original Issue Date

10/16/1978

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

07/19/2018