ANGELA K WILDERMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070360

License Status

NOT RENEWED

Business

First Name

ANGELA K

Last Name

WILDERMAN

Business Name

ANGELA K WILDERMAN

Original Issue Date

07/29/1991

Effective Date

04/26/2005

Expiration Date

01/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

2003008568

Action

Suspension

Discipline Start Date

04/26/2005

Discipline Reason

Diverted Controlled Substances