The holder whose full name is Nickum, Tara M,come from Batavia OH,hold the Registered Nurse license(NO.28215034A) which status is Active.
| Name | Nickum, Tara M |
|---|---|
| License Number | 28215034A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Batavia |
| State | OH |