LARA TJIN A TAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041380123

License Status

INACTIVE

Business

First Name

LARA

Last Name

TJIN A TAM

Business Name

LARA TJIN A TAM

Original Issue Date

09/29/2009

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

LOUISVILLE

State

Zip

40205

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020