TARA K PEDDICORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041438052

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

PEDDICORD

Business Name

TARA K PEDDICORD

Original Issue Date

02/04/2016

Effective Date

05/24/2016

Expiration Date

05/31/2018

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/19/2018