MONICA D WILFONG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

MONICA D

Last Name

WILFONG

Business Name

MONICA D WILFONG

Original Issue Date

04/15/2002

Effective Date

04/15/2002

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006