DONNA BROTT WIEBOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146646

License Status

INACTIVE

Business

First Name

DONNA BROTT

Last Name

WIEBOLD

Business Name

DONNA BROTT WIEBOLD

Original Issue Date

11/15/1972

Effective Date

11/15/1972

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006