MARY M WICKLUND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103271

License Status

INACTIVE

Business

First Name

MARY M

Last Name

WICKLUND

Business Name

MARY M WICKLUND

Original Issue Date

06/06/1962

Effective Date

06/06/1962

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006