THERESA A WIEDERHOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215538

License Status

INACTIVE

Business

First Name

THERESA A

Last Name

WIEDERHOLD

Business Name

THERESA A WIEDERHOLD

Original Issue Date

03/09/1983

Effective Date

03/09/1983

Expiration Date

05/31/1988

City

PORTLAND

State

Zip

97207

County

OREGON

Ever Disciplined

LastModifiedDate

09/27/2006