KATHERINE LYNN WIEBENGA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047806

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

LYNN

Last Name

WIEBENGA

Business Name

KATHERINE LYNN WIEBENGA

Original Issue Date

01/07/1980

Effective Date

09/15/1999

Expiration Date

01/31/2001

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/15/2005