MARY PALMER WILDERMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128244

License Status

INACTIVE

Business

First Name

MARY PALMER

Last Name

WILDERMAN

Business Name

MARY PALMER WILDERMAN

Original Issue Date

10/04/1968

Effective Date

10/04/1968

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006