TAMARA J MIKELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242990

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

MIKELL

Business Name

TAMARA J MIKELL

Original Issue Date

10/02/1987

Effective Date

03/13/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016