DOROTHY BLANCHE TISDALE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032918

License Status

NOT RENEWED

Business

First Name

DOROTHY BLANCHE

Last Name

TISDALE

Business Name

DOROTHY BLANCHE TISDALE

Original Issue Date

04/16/1973

Effective Date

01/07/2011

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/20/2013