PATRICIA J HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227542

License Status

NOT RENEWED

Business

First Name

PATRICIA J

Last Name

HERZOG

Business Name

PATRICIA J HERZOG

Original Issue Date

12/03/1984

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

WISCONSIN RAPIDS

State

Zip

54494

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012