ANNA T MIEDEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041068741

License Status

INACTIVE

Business

First Name

ANNA T

Last Name

MIEDEMA

Business Name

ANNA T MIEDEMA

Original Issue Date

12/15/1950

Effective Date

12/15/1950

Expiration Date

05/31/2002

City

ST. ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/09/2006