VAN CLAYTON TETIDRICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143581

License Status

NOT RENEWED

Business

First Name

VAN CLAYTON

Last Name

TETIDRICK

Business Name

VAN CLAYTON TETIDRICK

Original Issue Date

04/11/1972

Effective Date

05/24/2016

Expiration Date

05/31/2018

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/19/2018