TABITHA J MOFFETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102131

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

MOFFETT

Business Name

TABITHA J MOFFETT

Original Issue Date

09/11/2006

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

COWDEN

State

Zip

62422

County

SHELBY

Ever Disciplined

LastModifiedDate

03/17/2009