Wisconsin
Department of Safety and Professional Services
Fordham, Martin L
Registered Nurse
License number
109754-30
Date granted
04/17/1992
Date expires
02/29/1996
Class
Registered Nurse
Status
Expired
nursingwisconsin.org
ID 12910749
LAST UPDATED 2024-04-10 13:57:03 UTC
LAST UPDATED 2024-04-10 13:57:03 UTC
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