MARY L TISDALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007925

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

TISDALE

Business Name

MARY L TISDALE

Original Issue Date

11/30/2009

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026