JEROME WM WELLINGHOFF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001163

License Status

NOT RENEWED

Business

First Name

JEROME WM

Last Name

WELLINGHOFF

Business Name

JEROME WM WELLINGHOFF

Original Issue Date

06/18/2001

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

LOUDON

State

Zip

37774

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021