KELLY ANN TABLA - Registered Nurse License in Indiana | # 041455082

KELLY ANN TABLA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041455082

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

ANN

Last Name

TABLA

Business Name

KELLY ANN TABLA

Original Issue Date

07/17/2017

Effective Date

05/22/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021