TIMOTHY FOSDICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112268

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Last Name

FOSDICK

Business Name

TIMOTHY FOSDICK

Original Issue Date

03/01/2011

Effective Date

01/07/2013

Expiration Date

01/31/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/11/2015

Case Number

2013006660

Action

Revocation

Discipline Start Date

11/16/2015

Discipline Reason

for conviction of Criminal Sexual Assault.