AMY M WIDEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041293991

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

WIDEMAN

Business Name

AMY M WIDEMAN

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

05/31/2006

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006