TARA GAIL PROVINES Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115225

License Status

ACTIVE

Business

First Name

TARA

Middle

GAIL

Last Name

PROVINES

Business Name

TARA GAIL PROVINES

Original Issue Date

08/13/2012

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

SUMNER

State

Zip

62466

County

LAWRENCE

Ever Disciplined

LastModifiedDate

01/02/2025