BROTHER ROBERT WILDE - Registered Nurse License in Illinois | # 041115124

BROTHER ROBERT WILDE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115124

License Status

NOT RENEWED

Business

N

First Name

BROTHER ROBERT

Last Name

WILDE

Business Name

BROTHER ROBERT WILDE

Original Issue Date

10/04/1965

Effective Date

10/04/1965

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006