MAXWELL CODY WAIDLICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041507325

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

CODY

Last Name

WAIDLICH

Business Name

MAXWELL CODY WAIDLICH

Original Issue Date

03/19/2021

Effective Date

03/19/2021

Expiration Date

08/31/2022

City

GREENWOOD

State

Zip

46143

Ever Disciplined

LastModifiedDate

10/14/2022