CONSTANDINA V TANNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144902

License Status

NOT RENEWED

Business

First Name

CONSTANDINA

Middle

Last Name

TANNER

Business Name

CONSTANDINA V TANNER

Original Issue Date

09/29/1972

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016