MARY AGNES WITZLEB Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040639

License Status

NOT RENEWED

Business

First Name

MARY AGNES

Last Name

WITZLEB

Business Name

MARY AGNES WITZLEB

Original Issue Date

02/02/1977

Expiration Date

01/31/1987

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/21/2005