KIM DOUGLAS WIDRIG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006232

License Status

NOT RENEWED

Business

First Name

KIM

Middle

DOUGLAS

Last Name

WIDRIG

Business Name

KIM DOUGLAS WIDRIG

Original Issue Date

10/02/2006

Effective Date

10/02/2006

Expiration Date

05/31/2008

City

HILLSDALE

State

Zip

49242

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2008