DIANE C WILDRICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001047

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

WILDRICK

Business Name

DIANE C WILDRICK

Original Issue Date

06/15/2001

Effective Date

05/11/2020

Expiration Date

08/31/2022

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022