SANDRA M HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087087

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

HERZOG

Business Name

SANDRA M HERZOG

Original Issue Date

02/06/2002

Effective Date

01/14/2015

Expiration Date

01/31/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/27/2017