TERA RIDDICK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023944

License Status

INACTIVE

Business

First Name

TERA

Last Name

RIDDICK

Business Name

TERA RIDDICK

BusinessDBA

TERA SMITH

Original Issue Date

09/01/2021

Effective Date

09/01/2021

Expiration Date

05/31/2022

City

HATTIESBURG

State

Zip

39401

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/16/2021