REXANNA L TATLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338999

License Status

NOT RENEWED

Business

First Name

REXANNA

Middle

Last Name

TATLOCK

Business Name

REXANNA L TATLOCK

Original Issue Date

02/09/2004

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/03/2014