TILLIE WADE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109182

License Status

NOT RENEWED

Business

First Name

TILLIE

Last Name

WADE

Business Name

TILLIE WADE

Original Issue Date

01/22/1964

Effective Date

01/22/1964

Expiration Date

05/01/1982

City

BEAVERTON

State

Zip

97007

County

OREGON

Ever Disciplined

LastModifiedDate

09/27/2006