RANDALL DELBERT WYATT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041474216

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

DELBERT

Last Name

WYATT

Business Name

RANDALL DELBERT WYATT

Original Issue Date

01/23/2019

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

FORT WAYNE

State

Zip

46805

Ever Disciplined

LastModifiedDate

10/14/2022