DONALD ERWIN WILDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041361947

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

ERWIN

Last Name

WILDE

Business Name

DONALD ERWIN WILDE

Original Issue Date

08/03/2007

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012