TABITHA NICOLE WOOD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

NICOLE

Last Name

WOOD

Business Name

TABITHA NICOLE WOOD

Original Issue Date

09/17/2019

Effective Date

05/14/2020

Expiration Date

08/31/2022

City

PARIS

State

Zip

61944

County

EDGAR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022