DENISE WITSMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070077

License Status

NOT RENEWED

Business

First Name

DENISE

Last Name

WITSMAN

Business Name

DENISE WITSMAN

Original Issue Date

05/30/1991

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

1996012446

Action

Refuse To Renew

Discipline Start Date

11/18/1996

Discipline End Date

05/14/1997

Discipline Reason

Defaulted on Illinois Student Assistance loan.