TARA R GORDON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399487

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

GORDON

Business Name

TARA R GORDON

Original Issue Date

02/17/2012

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/03/2014