TARA L SODERHOLM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041354086

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

SODERHOLM

Business Name

TARA L SODERHOLM

Original Issue Date

07/28/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/16/2010