JACQUELINE JANIC WIKSTEN

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043053233

NOT RENEWED

N

JACQUELINE JANIC

WIKSTEN

JACQUELINE JANIC WIKSTEN

01/13/1982

08/21/2003

01/31/1999

ALSIP

IL

60803

COOK

Y

06/02/2005

1998010558

Suspension

08/21/2003

Diverted a controlled substance from a patient.