Wisconsin
Department of Safety and Professional Services
divine, timothy b
Registered Nurse
License number
219090-30
Date granted
09/22/2014
Date expires
02/29/2016
Class
Registered Nurse
Status
Inactive
nursingwisconsin.org
ID 36512003
LAST UPDATED 2026-04-19 05:40:41 UTC
LAST UPDATED 2026-04-19 05:40:41 UTC
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