NICOLE M WIEMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011000

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

WIEMAN

Business Name

NICOLE M WIEMAN

Original Issue Date

11/19/2013

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/17/2022