TARA A GROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103874

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

GROSS

Business Name

TARA A GROSS

Original Issue Date

08/15/2007

Effective Date

08/15/2007

Expiration Date

01/31/2009

City

LAKE VILLA

State

Zip

60046

Ever Disciplined

LastModifiedDate

03/17/2009