MASON GRANT TANNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124911

License Status

NOT RENEWED

Business

First Name

MASON

Middle

GRANT

Last Name

TANNER

Business Name

MASON GRANT TANNER

Original Issue Date

11/06/2017

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

JASPER

State

Zip

47546

Ever Disciplined

LastModifiedDate

03/11/2021