License holder summary

polivka, cody g is a Licensed Practical Nurse licensed to practice in Wisconsin. This nurse license is not current. The license was granted 07/25/2011 and expired on 04/30/2013.

Wisconsin

Department of Safety and Professional Services

polivka, cody g
Licensed Practical Nurse
License number
314257-31
Date granted
07/25/2011
Date expires
04/30/2013
Class
Licensed Practical Nurse
Status
Expired
nursingwisconsin.org
ID 13753017
LAST UPDATED 2026-04-10 22:38:53 UTC

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