TAMARA K DE SPAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086886

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

DE SPAIN

Business Name

TAMARA K DE SPAIN

Original Issue Date

12/03/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/21/2005