DAINELE W WISE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329476

License Status

NOT RENEWED

Business

First Name

DAINELE

Middle

Last Name

WISE

Business Name

DAINELE W WISE

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006