Wisconsin
Department of Safety and Professional Services
Black, Fonda L
Licensed Practical Nurse
License number
20513-31
Date granted
08/25/1978
Date expires
04/30/2007
Class
Licensed Practical Nurse
Status
Expired
nursingwisconsin.org
ID 35859650
LAST UPDATED 2026-04-24 23:50:14 UTC
LAST UPDATED 2026-04-24 23:50:14 UTC
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