GLEN OREJUDOS TICZON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041397212

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

OREJUDOS

Last Name

TICZON

Business Name

GLEN OREJUDOS TICZON

Original Issue Date

10/05/2011

Effective Date

03/16/2020

Expiration Date

08/31/2022

City

URBANA

State

Zip

61802

Ever Disciplined

LastModifiedDate

10/14/2022