TARA FAITH UNDERWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041435569

License Status

NOT RENEWED

Business

First Name

TARA

Middle

FAITH

Last Name

UNDERWOOD

Business Name

TARA FAITH UNDERWOOD

Original Issue Date

10/01/2015

Effective Date

07/22/2020

Expiration Date

08/31/2022

City

MONROVIA

State

Zip

46157

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022