DANIEL DALE TANNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323296

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

DALE

Last Name

TANNER

Business Name

DANIEL DALE TANNER

Original Issue Date

01/29/2001

Effective Date

01/29/2001

Expiration Date

05/31/2006

City

PLYMOUTH

State

Zip

46563

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006