TABITHA J WOODALL GOMEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313179

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

WOODALL GOMEZ

Business Name

TABITHA J WOODALL GOMEZ

Original Issue Date

02/18/1999

Effective Date

02/18/1999

Expiration Date

05/31/2002

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006