TABETHLA J FISH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079568

License Status

NOT RENEWED

Business

First Name

TABETHLA J

Last Name

FISH

Business Name

TABETHLA J FISH

Original Issue Date

09/03/1996

Effective Date

11/16/2010

Expiration Date

01/31/2013

City

ST DAVID

State

Zip

61563

County

FULTON

Ever Disciplined

LastModifiedDate

03/20/2013