TIFFANY A TACKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041381960

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

TACKETT

Business Name

TIFFANY A TACKETT

Original Issue Date

02/11/2010

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021