WILDA S LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100001

License Status

NOT RENEWED

Business

First Name

WILDA

Middle

Last Name

LEWIS

Business Name

WILDA S LEWIS

Original Issue Date

06/09/2005

Effective Date

12/12/2008

Expiration Date

01/31/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

03/10/2011