TIMOTHY SCOTT WIDENOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041478289

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

SCOTT

Last Name

WIDENOR

Business Name

TIMOTHY SCOTT WIDENOR

Original Issue Date

04/18/2019

Effective Date

05/19/2022

Expiration Date

06/30/2024

City

SCOTIA

State

Zip

12302

Ever Disciplined

LastModifiedDate

02/05/2025