TERESA MARIE WICKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041321729

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

MARIE

Last Name

WICKMAN

Business Name

TERESA MARIE WICKMAN

Original Issue Date

09/13/2000

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

GERMANTOWN HILLS

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/14/2021