RACHELLE M WIEDMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080349

License Status

NOT RENEWED

Business

First Name

RACHELLE M

Last Name

WIEDMAN

Business Name

RACHELLE M WIEDMAN

Original Issue Date

12/17/1996

Effective Date

11/23/2004

Expiration Date

01/31/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/16/2007