TABITHA JENELL GARDNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INACTIVE

Business

First Name

TABITHA

Middle

JENELL

Last Name

GARDNER

Business Name

TABITHA JENELL GARDNER

Original Issue Date

04/13/2017

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

HERMITAGE

State

Zip

37076

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2025