JUDY K NIEBAUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041251393

License Status

NOT RENEWED

Business

First Name

JUDY K

Last Name

NIEBAUM

Business Name

JUDY K NIEBAUM

Original Issue Date

02/14/1989

Effective Date

02/14/1989

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006