KELLY LYNN TADIE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195382

License Status

NOT RENEWED

Business

First Name

KELLY LYNN

Last Name

TADIE

Business Name

KELLY LYNN TADIE

Original Issue Date

05/06/1980

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

01/14/2021