TABITHA J SISEMORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041487250

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

SISEMORE

Business Name

TABITHA J SISEMORE

Original Issue Date

10/25/2019

Effective Date

05/13/2022

Expiration Date

06/30/2024

City

SKIATOOK

State

Zip

74070

Ever Disciplined

LastModifiedDate

02/05/2025