TAMARA S BACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056450

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

BACH

Business Name

TAMARA S BACH

Original Issue Date

02/23/1983

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ELLIS GROVE

State

Zip

62241

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/15/2005