CONNIE LYNNE DEWILDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152486

License Status

NOT RENEWED

Business

First Name

CONNIE LYNNE

Last Name

DEWILDE

Business Name

CONNIE LYNNE DEWILDE

Original Issue Date

10/23/1973

Effective Date

10/23/1973

Expiration Date

05/31/2000

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

09/27/2006