TARA L CRAWFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090307

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

CRAWFORD

Business Name

TARA L CRAWFORD

Original Issue Date

09/23/2004

Effective Date

02/17/2005

Expiration Date

01/31/2007

City

PONTIAC

State

Zip

61764

Ever Disciplined

LastModifiedDate

03/16/2007