SUSAN M WEIDEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029376

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

WEIDEMAN

Business Name

SUSAN M WEIDEMAN

Original Issue Date

11/01/1971

Effective Date

11/19/2010

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2012