Wisconsin
Department of Safety and Professional Services
Ivy, Jackie C
Licensed Practical Nurse
License number
304996-31
Date granted
07/22/2004
Date expires
04/30/2015
Class
Licensed Practical Nurse
Status
Active
nursingwisconsin.org
ID 13147363
LAST UPDATED 2024-05-16 03:31:01 UTC
LAST UPDATED 2024-05-16 03:31:01 UTC
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