TABETHA A ACKERMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090711

License Status

NOT RENEWED

Business

First Name

TABETHA

Middle

Last Name

ACKERMAN

Business Name

TABETHA A ACKERMAN

Original Issue Date

11/29/2004

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

GRIDLEY

State

Zip

61744

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/17/2009