HOLLY J WIESEHAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022302

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

WIESEHAN

Business Name

HOLLY J WIESEHAN

BusinessDBA

MCGOFF

Original Issue Date

10/23/2020

Effective Date

10/13/2022

Expiration Date

06/30/2024

City

IMPERIAL

State

Zip

63052

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/05/2025