TARA MARIE VICKERY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043132462

License Status

ACTIVE

Business

First Name

TARA

Middle

MARIE

Last Name

VICKERY

Business Name

TARA MARIE VICKERY

Original Issue Date

09/27/2022

Effective Date

03/07/2025

Expiration Date

01/31/2027

City

SPARTA

State

Zip

62286

County

ADAMS

Ever Disciplined

LastModifiedDate

03/07/2025