TARA A GORDON - Registered Nurse License in Illinois | # 043086265

TARA A GORDON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086265

License Status

INACTIVE

Business

N

First Name

TARA

Middle

A

Last Name

GORDON

Business Name

TARA A GORDON

Original Issue Date

06/25/2001

Effective Date

01/24/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005