JERRY K WILSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006967

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

WILSON

Business Name

JERRY K WILSON

Original Issue Date

01/30/2008

Effective Date

11/18/2016

Expiration Date

05/31/2018

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018