KATHRYN A TISDALE
Nursing at Revere Dr, Derby, NY

License number
Florida 9293353
Issued Date
Jun 18, 2009
Effective Date
May 15, 2013
Expiration Date
Apr 30, 2011
Category
Health Care
Type
Registered Nurse
Address
Address 2
6705 Revere Dr, Derby, NY 14047
1235 2Nd Ave S, Payette, ID 83661
Phone
(208) 921-4015
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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