TAMARA L WILSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088618

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

WILSON

Business Name

TAMARA L WILSON

Original Issue Date

07/21/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WILLIAMSPORT

State

Zip

47993

Ever Disciplined

LastModifiedDate

10/21/2005