JACKI LEA WILDEMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004903

License Status

NOT RENEWED

Business

First Name

JACKI

Middle

LEA

Last Name

WILDEMAN

Business Name

JACKI LEA WILDEMAN

Original Issue Date

11/14/2003

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

EVANSVILLE

State

Zip

47710

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022