MICHELLE M WISEMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090670

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

WISEMAN

Business Name

MICHELLE M WISEMAN

Original Issue Date

11/19/2004

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

BROWNS

State

Zip

62818

County

EDWARDS

Ever Disciplined

LastModifiedDate

03/10/2011