TARA J FLEEMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082785

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

FLEEMAN

Business Name

TARA J FLEEMAN

Original Issue Date

09/28/1998

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/15/2005