TAMARA A LEATHERS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041235971

License Status

NOT RENEWED

Business

First Name

TAMARA A

Last Name

LEATHERS

Business Name

TAMARA A LEATHERS

Original Issue Date

05/15/1986

Effective Date

05/18/2010

Expiration Date

05/31/2012

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012