TARA L BAIETTO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077455

License Status

INACTIVE

Business

First Name

TARA L

Last Name

BAIETTO

Business Name

TARA L BAIETTO

Original Issue Date

05/16/1995

Expiration Date

01/31/1999

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005