TABITHA JENELL GARDNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015188

License Status

INACTIVE

Business

First Name

TABITHA

Middle

JENELL

Last Name

GARDNER

Business Name

TABITHA JENELL GARDNER

Original Issue Date

11/28/2016

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

HERMITAGE

State

Zip

37076

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/13/2025