JEROME WM WELLINGHOFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172153

License Status

NOT RENEWED

Business

First Name

JEROME WM

Last Name

WELLINGHOFF

Business Name

JEROME WM WELLINGHOFF

Original Issue Date

11/03/1976

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

LOUDON

State

Zip

37774

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021