TARA L LEITING Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041434240

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

LEITING

Business Name

TARA L LEITING

Original Issue Date

08/19/2015

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

SILVER LAKE

State

Zip

53170

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022