DIANE C WILDRICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137555

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

WILDRICK

Business Name

DIANE C WILDRICK

Original Issue Date

10/15/1970

Effective Date

05/11/2020

Expiration Date

08/31/2022

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022