NIEL IVAN T TABOTABO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041473138

License Status

ACTIVE

Business

First Name

NIEL IVAN

Middle

Last Name

TABOTABO

Business Name

NIEL IVAN T TABOTABO

Original Issue Date

12/10/2018

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

PARK CITY

State

Zip

60085

Ever Disciplined

LastModifiedDate

02/28/2026