TIEDE L HENDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110500

License Status

NOT RENEWED

Business

First Name

TIEDE

Middle

Last Name

HENDERSON

Business Name

TIEDE L HENDERSON

Original Issue Date

06/24/2010

Effective Date

01/28/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017