MICKEY T WILDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

MICKEY

Middle

Last Name

WILDON

Business Name

MICKEY T WILDON

Original Issue Date

05/30/2014

Effective Date

04/26/2016

Expiration Date

05/31/2018

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018