DIANE L WICKKISER - Registered Nurse License in Illinois | # 043035228

DIANE L WICKKISER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035228

License Status

INACTIVE

Business

N

First Name

DIANE L

Last Name

WICKKISER

Business Name

DIANE L WICKKISER

Original Issue Date

09/11/1974

Effective Date

12/17/2018

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2020