TOM B SIDDOWAY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112497

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

SIDDOWAY

Business Name

TOM B SIDDOWAY

Original Issue Date

04/12/2011

Effective Date

12/07/2016

Expiration Date

01/31/2019

City

BELGRADE

State

Zip

59714

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019