TANNER A CRISP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128010

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

Last Name

CRISP

Business Name

TANNER A CRISP

Original Issue Date

10/10/2019

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

03/31/2023