TANNER M ROBBERSTAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041387777

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

Last Name

ROBBERSTAD

Business Name

TANNER M ROBBERSTAD

Original Issue Date

08/31/2010

Effective Date

03/29/2012

Expiration Date

05/31/2014

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014