IDA M TIBEREND Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113640

License Status

NOT RENEWED

Business

First Name

IDA

Middle

Last Name

TIBEREND

Business Name

IDA M TIBEREND

Original Issue Date

10/11/2011

Effective Date

10/11/2011

Expiration Date

01/31/2013

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/20/2013