PATRICIA A WIESBROCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073682

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

WIESBROCK

Business Name

PATRICIA A WIESBROCK

Original Issue Date

12/26/1952

Effective Date

12/26/1952

Expiration Date

05/31/1992

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006