TABITHA KAY SHORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124303

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

KAY

Last Name

SHORE

Business Name

TABITHA KAY SHORE

Original Issue Date

08/07/2017

Effective Date

08/07/2017

Expiration Date

01/31/2019

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

03/28/2019