SHANE E WILDERMUTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041352002

License Status

ACTIVE

Business

First Name

SHANE

Middle

Last Name

WILDERMUTH

Business Name

SHANE E WILDERMUTH

Original Issue Date

04/05/2006

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/28/2026