TARA L KASUBOSKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323115

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

KASUBOSKI

Business Name

TARA L KASUBOSKI

Original Issue Date

01/08/2001

Effective Date

01/08/2001

Expiration Date

05/31/2006

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006