SANDRA J HEISE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091120

License Status

INACTIVE

Business

First Name

SANDRA J

Last Name

HEISE

Business Name

SANDRA J HEISE

Original Issue Date

11/07/1958

Effective Date

03/30/2010

Expiration Date

05/31/2012

City

NEPONSET

State

Zip

61345

County

BUREAU

Ever Disciplined

LastModifiedDate

03/08/2012