NameTABITHA DAWN BLOUGH
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.407576-MEDS Practical Nurse w/MEDS- Temporary Work Permit 12/28/2004 12/28/2004 06/28/2005 CLOSED License Issued
PN.117607-MEDS Licensed Practical Nurse - MEDS 01/05/2005 09/01/2014 08/31/2016 ACTIVE Endorsement

Comments


search At least 3 letters.