JACKI LEA WILDEMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337454

License Status

NOT RENEWED

Business

First Name

JACKI

Middle

LEA

Last Name

WILDEMAN

Business Name

JACKI LEA WILDEMAN

Original Issue Date

09/17/2003

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

WADESVILLE

State

Zip

47638

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022