TANNER J CHURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041467398

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

Last Name

CHURCH

Business Name

TANNER J CHURCH

Original Issue Date

07/31/2018

Effective Date

07/31/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

01/14/2021