FRED S WILDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075436

License Status

NOT RENEWED

Business

First Name

FRED S

Last Name

WILDER

Business Name

FRED S WILDER

Original Issue Date

04/06/1994

Expiration Date

01/31/1997

City

NAPERVILLE

State

Zip

60540

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005