THEDOSIA TIDWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080541

License Status

NOT RENEWED

Business

First Name

THEDOSIA

Last Name

TIDWELL

Business Name

THEDOSIA TIDWELL

Original Issue Date

02/19/1997

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CORBIN

State

Zip

40701

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/15/2005