TARA SHANNON WARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113625

License Status

NOT RENEWED

Business

First Name

TARA

Middle

SHANNON

Last Name

WARD

Business Name

TARA SHANNON WARD

Original Issue Date

10/06/2011

Effective Date

10/06/2011

Expiration Date

01/31/2013

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

03/20/2013