TIA K SELLEVOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349560

License Status

NOT RENEWED

Business

First Name

TIA

Middle

Last Name

SELLEVOLD

Business Name

TIA K SELLEVOLD

Original Issue Date

10/13/2005

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021