TABATHA J MILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391072

License Status

NOT RENEWED

Business

First Name

TABATHA

Middle

Last Name

MILLER

Business Name

TABATHA J MILLER

Original Issue Date

03/03/2011

Effective Date

04/18/2012

Expiration Date

05/31/2014

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

07/03/2014