NICOLE M WIEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342292

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

WIEMAN

Business Name

NICOLE M WIEMAN

Original Issue Date

08/30/2004

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/17/2022