MARY KATHLEEN WILDERMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132299

License Status

NOT RENEWED

Business

First Name

MARY KATHLEEN

Last Name

WILDERMAN

Business Name

MARY KATHLEEN WILDERMAN

Original Issue Date

08/26/1969

Effective Date

08/26/1969

City

PORTLAND

State

Zip

97216

County

OREGON

Ever Disciplined

LastModifiedDate

09/27/2006