TIMOTHY DAVID KIDWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041464560

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

DAVID

Last Name

KIDWELL

Business Name

TIMOTHY DAVID KIDWELL

Original Issue Date

05/07/2018

Effective Date

08/17/2022

Expiration Date

06/30/2024

City

KOKOMO

State

Zip

46901

Ever Disciplined

LastModifiedDate

02/05/2025