SANDRA DENISE TANNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088831

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

DENISE

Last Name

TANNER

Business Name

SANDRA DENISE TANNER

Original Issue Date

09/05/2003

Effective Date

01/23/2019

Expiration Date

01/31/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

03/11/2021