KATHY MARIE TACKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049142

License Status

INACTIVE

Business

First Name

KATHY MARIE

Last Name

TACKETT

Business Name

KATHY MARIE TACKETT

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005