GWEN M LENZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108310

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

Last Name

LENZ

Business Name

GWEN M LENZ

Original Issue Date

07/30/2009

Effective Date

11/22/2010

Expiration Date

01/31/2013

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013