MARK JEFFERY WYATT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041278391

License Status

NOT RENEWED

Business

First Name

MARK JEFFERY

Last Name

WYATT

Business Name

MARK JEFFERY WYATT

Original Issue Date

11/04/1993

Effective Date

03/10/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016