AMY DAWN TANNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111875

License Status

NOT RENEWED

Business

First Name

AMY

Middle

DAWN

Last Name

TANNER

Business Name

AMY DAWN TANNER

Original Issue Date

12/21/2010

Effective Date

01/13/2015

Expiration Date

01/31/2017

City

LOMAX

State

Zip

61454

County

HENDERSON

Ever Disciplined

LastModifiedDate

03/27/2017