DIANE K WIERSEMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122629

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

WIERSEMA

Business Name

DIANE K WIERSEMA

Original Issue Date

09/07/1967

Effective Date

09/07/1967

Expiration Date

05/31/1988

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

09/27/2006