PHYLLIS H WILDMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109533

License Status

NOT RENEWED

Business

First Name

PHYLLIS H

Last Name

WILDMAN

Business Name

PHYLLIS H WILDMAN

Original Issue Date

04/01/1964

Effective Date

05/10/2022

Expiration Date

06/30/2024

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

02/05/2025