TABITHA R0SE GOODMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419750

License Status

ACTIVE

Business

First Name

TABITHA

Middle

R0SE

Last Name

GOODMAN

Business Name

TABITHA R0SE GOODMAN

Original Issue Date

04/24/2014

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2026