KELLY ANN TABLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041455082

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

TABLA

Business Name

KELLY ANN TABLA

Original Issue Date

07/17/2017

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

01/14/2021