ANGELITO D TACDERAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007762

License Status

NOT RENEWED

Business

First Name

ANGELITO D

Last Name

TACDERAS

Business Name

ANGELITO D TACDERAS

Original Issue Date

09/01/2009

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021