TERRY J M WISE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059740

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

J M

Last Name

WISE

Business Name

TERRY J M WISE

Original Issue Date

09/05/1984

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/15/2005