GWEN L GROENEWOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066191

License Status

NOT RENEWED

Business

First Name

GWEN L

Last Name

GROENEWOLD

Business Name

GWEN L GROENEWOLD

Original Issue Date

10/26/1988

Expiration Date

01/31/1995

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005