ALICE M WIESE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106777

License Status

INACTIVE

Business

First Name

ALICE M

Last Name

WIESE

Business Name

ALICE M WIESE

Original Issue Date

07/10/1963

Effective Date

04/20/2012

Expiration Date

05/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/06/2014