BRENDA MAYLENE WIERSEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089511

License Status

INACTIVE

Business

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

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/03/2006