BRENDA MAYLENE WIERSEMA - Registered Nurse License in Illinois | # 043089511

BRENDA MAYLENE WIERSEMA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089511

License Status

INACTIVE

Business

N

First Name

BRENDA

Middle

MAYLENE

Last Name

WIERSEMA

Business Name

BRENDA MAYLENE WIERSEMA

Original Issue Date

01/22/2004

Effective Date

01/10/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006