JERRY L WANLESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243179

License Status

NOT RENEWED

Business

First Name

JERRY L

Last Name

WANLESS

Business Name

JERRY L WANLESS

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

05/31/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006