TENILLE M ODERWALD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304553

License Status

ACTIVE

Business

First Name

TENILLE

Middle

Last Name

ODERWALD

Business Name

TENILLE M ODERWALD

Original Issue Date

08/12/1997

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/01/2026