JEFF A SIEWERT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082591

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

Last Name

SIEWERT

Business Name

JEFF A SIEWERT

Original Issue Date

09/01/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005