IDA MAI TEGEDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017479

License Status

NOT RENEWED

Business

First Name

IDA MAI

Last Name

TEGEDER

Business Name

IDA MAI TEGEDER

Original Issue Date

12/19/1966

Effective Date

01/09/2017

Expiration Date

01/31/2019

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

03/28/2019