SR KENNETH WILDT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077219

License Status

INACTIVE

Business

First Name

SR KENNETH

Last Name

WILDT

Business Name

SR KENNETH WILDT

Original Issue Date

12/17/1953

Effective Date

04/08/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012