TARA M ROBERTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108955

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

ROBERTS

Business Name

TARA M ROBERTS

Original Issue Date

09/25/2009

Effective Date

09/25/2009

Expiration Date

01/31/2011

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

03/10/2011