WALTINA MARIE PIWCEWICZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049367

License Status

INACTIVE

Business

First Name

WALTINA MARIE

Last Name

PIWCEWICZ

Business Name

WALTINA MARIE PIWCEWICZ

Original Issue Date

07/02/1980

Effective Date

01/18/2005

Expiration Date

01/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005