TAMARA L GOULD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081329

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

GOULD

Business Name

TAMARA L GOULD

Original Issue Date

09/25/1997

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005