BRENDA J HEITZMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074799

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

HEITZMAN

Business Name

BRENDA J HEITZMAN

Original Issue Date

12/28/1993

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

HETTICK

State

Zip

62649

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/10/2011