SAMANTHA GRACE TIDWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030683

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

GRACE

Last Name

TIDWELL

Business Name

SAMANTHA GRACE TIDWELL

Original Issue Date

09/27/2024

Effective Date

09/27/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026