CECILIA A WILD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

INACTIVE

Business

First Name

CECILIA

Middle

Last Name

WILD

Business Name

CECILIA A WILD

Original Issue Date

03/30/2019

Effective Date

07/27/2022

Expiration Date

05/31/2024

City

PLAINFIELD

State

Zip

60585

County

TENNESSEE

Ever Disciplined

LastModifiedDate

07/27/2022