JUDITH R TIDABACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119083

License Status

INACTIVE

Business

First Name

JUDITH R

Last Name

TIDABACK

Business Name

JUDITH R TIDABACK

Original Issue Date

10/06/1966

Effective Date

10/06/1966

Expiration Date

05/31/2002

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006