MARDELLE BIELEMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123726

License Status

NOT RENEWED

Business

First Name

MARDELLE

Last Name

BIELEMA

Business Name

MARDELLE BIELEMA

Original Issue Date

11/02/1967

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014