TARA JANELL LAVIGNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087764

License Status

NOT RENEWED

Business

First Name

TARA

Middle

JANELL

Last Name

LAVIGNE

Business Name

TARA JANELL LAVIGNE

Original Issue Date

09/24/2002

Effective Date

11/17/2008

Expiration Date

01/31/2011

City

PALESTINE

State

Zip

62451

County

CRAWFORD

Ever Disciplined

LastModifiedDate

03/10/2011