JACQUALINE M WELLENKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105204

License Status

NOT RENEWED

Business

First Name

JACQUALINE M

Last Name

WELLENKAMP

Business Name

JACQUALINE M WELLENKAMP

Original Issue Date

12/18/1962

Effective Date

05/29/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/16/2010