TABITHA A SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082632

License Status

INACTIVE

Business

First Name

TABITHA

Middle

Last Name

SMITH

Business Name

TABITHA A SMITH

Original Issue Date

09/11/1998

Effective Date

11/06/2000

Expiration Date

01/31/2001

City

INDIANAPOLIS

State

Zip

46237

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005