DIANE S WILDERMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186906

License Status

INACTIVE

Business

First Name

DIANE S

Last Name

WILDERMAN

Business Name

DIANE S WILDERMAN

Original Issue Date

02/20/1979

Effective Date

02/20/1979

Expiration Date

05/31/2002

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006