TARA A GORDON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086265

License Status

INACTIVE

Business

First Name

TARA

Middle

Last Name

GORDON

Business Name

TARA A GORDON

Original Issue Date

06/25/2001

Effective Date

01/24/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005