LISA G WILTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080023

License Status

INACTIVE

Business

First Name

LISA G

Last Name

WILTZ

Business Name

LISA G WILTZ

Original Issue Date

10/29/1996

Effective Date

12/28/2020

Expiration Date

01/31/2023

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

11/04/2022