IDA MAE WILSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030401

License Status

NOT RENEWED

Business

First Name

IDA MAE

Last Name

WILSON

Business Name

IDA MAE WILSON

Original Issue Date

03/03/1972

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005