JACQUELINE MARIE WITTKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080426

License Status

NOT RENEWED

Business

First Name

JACQUELINE MARIE

Last Name

WITTKAMP

Business Name

JACQUELINE MARIE WITTKAMP

Original Issue Date

01/09/1997

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2019