TAMARA E STOUT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065030

License Status

NOT RENEWED

Business

First Name

TAMARA E

Last Name

STOUT

Business Name

TAMARA E STOUT

Original Issue Date

12/19/1987

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

DANVILLE

State

Zip

61832

Ever Disciplined

LastModifiedDate

03/28/2019