PATRICIA M TIDBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108272

License Status

NOT RENEWED

Business

First Name

PATRICIA M

Last Name

TIDBERG

Business Name

PATRICIA M TIDBERG

Original Issue Date

12/06/1963

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018