SUSAN E WILDE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

WILDE

Business Name

SUSAN E WILDE

Original Issue Date

08/22/2002

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2020