THERESA L TAPPENDORF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058038

License Status

INACTIVE

Business

First Name

THERESA L

Last Name

TAPPENDORF

Business Name

THERESA L TAPPENDORF

Original Issue Date

12/27/1983

Effective Date

10/31/2002

Expiration Date

01/31/2003

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005