DIANE K WIEBENGA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041141641

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

WIEBENGA

Business Name

DIANE K WIEBENGA

Original Issue Date

09/29/1971

Effective Date

03/23/2010

Expiration Date

05/31/2012

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/08/2012