TAMMY JEAN VANDEGRAFT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090199

License Status

NOT RENEWED

Business

First Name

TAMMY JEAN

Last Name

VANDEGRAFT

Business Name

TAMMY JEAN VANDEGRAFT

Original Issue Date

09/10/2004

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

03/10/2011