Wisconsin
Department of Safety and Professional Services
Tackett, Penny J
Registered Nurse
License number
121701-30
Date granted
12/20/1995
Date expires
02/29/2012
Class
Registered Nurse
Status
Expired
nursingwisconsin.org
ID 35800079
LAST UPDATED 2024-05-17 00:19:01 UTC
LAST UPDATED 2024-05-17 00:19:01 UTC
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