COLLEEN YVONNE HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216284

License Status

NOT RENEWED

Business

First Name

COLLEEN YVONNE

Last Name

HERZOG

Business Name

COLLEEN YVONNE HERZOG

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

05/31/2000

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/27/2006