TAMARA RAE MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338211

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

RAE

Last Name

MONTGOMERY

Business Name

TAMARA RAE MONTGOMERY

Original Issue Date

11/13/2003

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014