Wisconsin
Department of Safety and Professional Services
Polivka, Susan C
Registered Nurse
License number
111176-30
Date granted
09/11/1992
Date expires
02/28/2010
Class
Registered Nurse
Status
Expired
nursingwisconsin.org
ID 12912228
LAST UPDATED 2024-02-04 23:01:52 UTC
LAST UPDATED 2024-02-04 23:01:52 UTC
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