Wisconsin
Department of Safety and Professional Services
moder, stacy m
Licensed Practical Nurse
License number
309617-31
Date granted
02/29/2008
Date expires
04/30/2017
Class
Licensed Practical Nurse
Status
Active
nursingwisconsin.org
ID 36297559
LAST UPDATED 2024-04-27 00:29:55 UTC
LAST UPDATED 2024-04-27 00:29:55 UTC
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