JAN MARIE BOLLIG WIEGAND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151370

License Status

INACTIVE

Business

First Name

JAN MARIE BOLLIG

Last Name

WIEGAND

Business Name

JAN MARIE BOLLIG WIEGAND

Original Issue Date

10/03/1973

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

SECOR

State

Zip

61771

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/08/2020