LORIE ROSE WENDT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

INACTIVE

Business

First Name

LORIE

Middle

ROSE

Last Name

WENDT

Business Name

LORIE ROSE WENDT

Original Issue Date

07/15/2010

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/10/2020