RANDALL G WISE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041255805

License Status

NOT RENEWED

Business

First Name

RANDALL G

Last Name

WISE

Business Name

RANDALL G WISE

Original Issue Date

11/15/1989

Effective Date

04/14/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022