TAMALLA J LIDYARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120677

License Status

NOT RENEWED

Business

First Name

TAMALLA

Middle

Last Name

LIDYARD

Business Name

TAMALLA J LIDYARD

Original Issue Date

05/13/2015

Effective Date

02/02/2017

Expiration Date

01/31/2019

City

RIO RANCHO

State

Zip

87174

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

03/28/2019