MARK A WICKLEIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195110

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

WICKLEIN

Business Name

MARK A WICKLEIN

Original Issue Date

05/06/1980

Effective Date

05/20/2020

Expiration Date

08/31/2022

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2022