NANCY E WIEBKE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

INACTIVE

Business

First Name

NANCY

Middle

Last Name

WIEBKE

Business Name

NANCY E WIEBKE

Original Issue Date

04/08/2002

Effective Date

03/30/2020

Expiration Date

05/31/2022

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/30/2020