JACKIE W WILDHAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072239

License Status

NOT RENEWED

Business

First Name

JACKIE W

Last Name

WILDHAGEN

Business Name

JACKIE W WILDHAGEN

Original Issue Date

09/08/1992

Expiration Date

01/31/1995

City

CARROLLTON

State

Zip

62016

County

GREENE

Ever Disciplined

LastModifiedDate

10/21/2005