DEZIRAE NICOLE TATUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121850

License Status

NOT RENEWED

Business

First Name

DEZIRAE

Middle

NICOLE

Last Name

TATUM

Business Name

DEZIRAE NICOLE TATUM

Original Issue Date

12/07/2015

Effective Date

12/07/2015

Expiration Date

01/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/27/2017