TIMOTHY G VANDERPLOEG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401994

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

VANDERPLOEG

Business Name

TIMOTHY G VANDERPLOEG

Original Issue Date

07/02/2012

Effective Date

03/16/2016

Expiration Date

05/31/2018

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2018