KATHLEEN WILFONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057235

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

WILFONG

Business Name

KATHLEEN WILFONG

Original Issue Date

05/09/1983

Expiration Date

01/31/1985

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005