MICHELLE L LIDVALL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011831

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

LIDVALL

Business Name

MICHELLE L LIDVALL

Original Issue Date

09/09/2014

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026