TONYA L TIDWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

TONYA

Middle

Last Name

TIDWELL

Business Name

TONYA L TIDWELL

Original Issue Date

12/11/2017

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026