TAMARA M CARLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089143

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

CARLOCK

Business Name

TAMARA M CARLOCK

Original Issue Date

10/28/2003

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CHANDLERVILLE

State

Zip

62627

County

CASS

Ever Disciplined

LastModifiedDate

03/17/2009