PHYLLIS L WILDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110151

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

WILDER

Business Name

PHYLLIS L WILDER

Original Issue Date

04/01/2010

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017