TARA N DEBLIECK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100060

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

DEBLIECK

Business Name

TARA N DEBLIECK

Original Issue Date

07/12/2005

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

11/01/2024