TAVIS ANTHONY CROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101254

License Status

NOT RENEWED

Business

First Name

TAVIS

Middle

ANTHONY

Last Name

CROSS

Business Name

TAVIS ANTHONY CROSS

Original Issue Date

02/06/2006

Effective Date

02/06/2006

Expiration Date

01/31/2007

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/16/2007