JASON MICHAEL WERTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356905

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICHAEL

Last Name

WERTH

Business Name

JASON MICHAEL WERTH

Original Issue Date

10/27/2006

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/16/2010