Wisconsin
Department of Safety and Professional Services
Bastian, Virginia
Registered Nurse
License number
63658-30
Date granted
09/30/1975
Date expires
02/28/2014
Class
Registered Nurse
Status
Active
nursingwisconsin.org
ID 12861654
LAST UPDATED 2024-02-15 08:22:52 UTC
LAST UPDATED 2024-02-15 08:22:52 UTC
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