MARY ANN R WALENGA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085754

License Status

INACTIVE

Business

First Name

MARY ANN

Middle

Last Name

WALENGA

Business Name

MARY ANN R WALENGA

Original Issue Date

12/21/2000

Effective Date

12/08/2004

Expiration Date

01/31/2005

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005