TABITHA M LOTT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090608

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

LOTT

Business Name

TABITHA M LOTT

Original Issue Date

11/09/2004

Effective Date

01/30/2023

Expiration Date

02/28/2025

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/08/2025