TAVIS ANTHONY CROSS - Registered Nurse License in Illinois | # 043101254

TAVIS ANTHONY CROSS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101254

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007