ROBERTA L TATUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081774

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

TATUM

Business Name

ROBERTA L TATUM

Original Issue Date

12/01/1997

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LOUISVILLE

State

Zip

40214

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/15/2005