BROTHER ROBERT WILDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115124

License Status

NOT RENEWED

Business

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

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006