TARA K FANNAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041408521

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

FANNAN

Business Name

TARA K FANNAN

Original Issue Date

02/14/2013

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

ALLSTON

State

Zip

02134

Ever Disciplined

LastModifiedDate

01/14/2021