RANDY R WIENTJES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004142

License Status

ACTIVE

Business

First Name

RANDY R

Last Name

WIENTJES

Business Name

RANDY R WIENTJES

Original Issue Date

01/18/2002

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

03/02/2026