FREDERICK H WIRTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048517

License Status

NOT RENEWED

Business

First Name

FREDERICK H

Last Name

WIRTH

Business Name

FREDERICK H WIRTH

Original Issue Date

01/07/1980

Expiration Date

01/31/1989

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005