TAMARA S BACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336137

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

BACH

Business Name

TAMARA S BACH

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

05/31/2006

City

ELLIS GROVE

State

Zip

62241

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/09/2006