ALICIA C WIRTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041376292

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

WIRTH

Business Name

ALICIA C WIRTH

Original Issue Date

06/24/2009

Effective Date

05/02/2014

Expiration Date

05/31/2016

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016