MICHELLE R TANNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041200330

License Status

NOT RENEWED

Business

First Name

MICHELLE R

Last Name

TANNER

Business Name

MICHELLE R TANNER

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1998

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006