JOANN G WIDERQUIST Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128486

License Status

INACTIVE

Business

First Name

JOANN

Middle

Last Name

WIDERQUIST

Business Name

JOANN G WIDERQUIST

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

05/31/1998

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006