CONSTANCE S WILD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169602

License Status

NOT RENEWED

Business

First Name

CONSTANCE S

Last Name

WILD

Business Name

CONSTANCE S WILD

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1988

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006