TABETHLA J FISH - Registered Nurse License in Illinois | # 043079568

TABETHLA J FISH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079568

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2013