Wisconsin
Department of Safety and Professional Services
Mattern, Virginia
Licensed Practical Nurse
License number
3775-31
Date granted
01/25/1961
Date expires
04/30/1983
Class
Licensed Practical Nurse
Status
Expired
nursingwisconsin.org
ID 12988366
LAST UPDATED 2026-07-22 13:16:31 UTC
LAST UPDATED 2026-07-22 13:16:31 UTC
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