MARY LOU WILD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303009

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LOU

Last Name

WILD

Business Name

MARY LOU WILD

Original Issue Date

04/29/1997

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

MAHOMET

State

Zip

61853

County

COLES

Ever Disciplined

LastModifiedDate

01/14/2021