DOMINIQUE TATUM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043136559

License Status

ACTIVE

Business

First Name

DOMINIQUE

Last Name

TATUM

Business Name

DOMINIQUE TATUM

Original Issue Date

11/07/2024

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

11/07/2024