TODD RYAN WICKAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041477595

License Status

NOT RENEWED

Business

First Name

TODD

Middle

RYAN

Last Name

WICKAM

Business Name

TODD RYAN WICKAM

Original Issue Date

03/28/2019

Effective Date

04/03/2020

Expiration Date

08/31/2022

City

FRUITA

State

Zip

81521

Ever Disciplined

LastModifiedDate

10/14/2022