VAN C TETIDRICK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025378

License Status

INACTIVE

Business

First Name

VAN C

Last Name

TETIDRICK

Business Name

VAN C TETIDRICK

Original Issue Date

07/07/1969

City

ST. FRANCESVILLE

State

Zip

62460

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/21/2005