MARY J WIERSUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082840

License Status

INACTIVE

Business

First Name

MARY J

Last Name

WIERSUM

Business Name

MARY J WIERSUM

Original Issue Date

12/01/1955

Effective Date

12/01/1955

Expiration Date

05/31/2004

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006