TONYA L TIDWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016801

License Status

ACTIVE

Business

First Name

TONYA

Middle

Last Name

TIDWELL

Business Name

TONYA L TIDWELL

Original Issue Date

10/25/2017

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

MACHESNEY PARK

State

Zip

61115

Ever Disciplined

LastModifiedDate

03/17/2026