JACKIE W WILDHAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041293517

License Status

NOT RENEWED

Business

First Name

JACKIE W

Last Name

WILDHAGEN

Business Name

JACKIE W WILDHAGEN

Original Issue Date

11/01/1995

Effective Date

11/01/1995

Expiration Date

05/31/2000

City

CARROLLTON

State

Zip

62016

County

JACKSON

Ever Disciplined

LastModifiedDate

09/27/2006