LISA J. WILDERMUTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041478470

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

WILDERMUTH

Business Name

LISA J. WILDERMUTH

Original Issue Date

04/23/2019

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

PORT BYRON

State

Zip

61275

Ever Disciplined

LastModifiedDate

03/01/2026