LORIE ROSE WENDT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008159

License Status

INACTIVE

Business

First Name

LORIE

Middle

ROSE

Last Name

WENDT

Business Name

LORIE ROSE WENDT

Original Issue Date

05/12/2010

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/10/2020