Wisconsin
Department of Safety and Professional Services
Squires, Virginia
Registered Nurse
License number
74611-30
Date granted
09/01/1979
Date expires
02/28/2014
Class
Registered Nurse
Status
Active
nursingwisconsin.org
ID 12872577
LAST UPDATED 2026-03-16 00:04:21 UTC
LAST UPDATED 2026-03-16 00:04:21 UTC
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