DONNA J WIESE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041074656

License Status

INACTIVE

Business

First Name

DONNA J

Last Name

WIESE

Business Name

DONNA J WIESE

Original Issue Date

02/05/1953

Effective Date

02/05/1953

Expiration Date

05/31/1992

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006