TARA NICOLE STATOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407602

License Status

NOT RENEWED

Business

First Name

TARA

Middle

NICOLE

Last Name

STATOS

Business Name

TARA NICOLE STATOS

Original Issue Date

12/19/2012

Effective Date

05/30/2014

Expiration Date

05/31/2016

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016