TAMARA EVE WALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112589

License Status

INACTIVE

Business

First Name

TAMARA

Middle

EVE

Last Name

WALL

Business Name

TAMARA EVE WALL

Original Issue Date

05/02/2011

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

ADRIAN

State

Zip

49221

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2018