KRISTOFER L TACKETT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041411290

License Status

ACTIVE

Business

First Name

KRISTOFER

Middle

Last Name

TACKETT

Business Name

KRISTOFER L TACKETT

Original Issue Date

07/05/2013

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2026