VAN C TETIDRICK - Registered Nurse License in Illinois | # 043025378

VAN C TETIDRICK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025378

License Status

INACTIVE

Business

N

First Name

VAN C

Last Name

TETIDRICK

Business Name

VAN C TETIDRICK

Original Issue Date

07/07/1969

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005