TERRIE GLADYS WYATT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031517

License Status

NOT RENEWED

Business

First Name

TERRIE GLADYS

Last Name

WYATT

Business Name

TERRIE GLADYS WYATT

Original Issue Date

11/15/1972

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005