VIKKI J WISEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124422

License Status

INACTIVE

Business

First Name

VIKKI J

Last Name

WISEMAN

Business Name

VIKKI J WISEMAN

Original Issue Date

12/04/1967

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2020