SUSAN K WILD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280985

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

WILD

Business Name

SUSAN K WILD

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006