Wisconsin
Department of Safety and Professional Services
Polivoda, Susan T
Registered Nurse
License number
100388-30
Date granted
09/07/1988
Date expires
02/28/2014
Class
Registered Nurse
Status
Active
nursingwisconsin.org
ID 12900173
LAST UPDATED 2024-02-29 09:16:57 UTC
LAST UPDATED 2024-02-29 09:16:57 UTC
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