LILA B TISDALE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032131

License Status

INACTIVE

Business

First Name

LILA B

Last Name

TISDALE

Business Name

LILA B TISDALE

Original Issue Date

12/13/1972

Expiration Date

01/31/1993

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005