ELLICE A WICKWIRE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048948

License Status

INACTIVE

Business

First Name

ELLICE A

Last Name

WICKWIRE

Business Name

ELLICE A WICKWIRE

Original Issue Date

01/07/1980

Expiration Date

01/31/1995

City

PINCKNEYVILLE

State

Zip

62274

Ever Disciplined

LastModifiedDate

10/21/2005