The holder whose full name is Tavenner, Stacy Marie,come from Buford GA,hold the Registered Nurse license(NO.28168994A) which status is Expired.
| Name | Tavenner, Stacy Marie |
|---|---|
| License Number | 28168994A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Buford |
| State | GA |