JOHANNE WICKSTROM - Registered Nurse License in Ohio | # 041119416

JOHANNE WICKSTROM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119416

License Status

NOT RENEWED

Business

N

First Name

JOHANNE

Last Name

WICKSTROM

Business Name

JOHANNE WICKSTROM

Original Issue Date

11/07/1966

Effective Date

11/07/1966

Expiration Date

05/01/1982

State

OH

Ever Disciplined

N

LastModifiedDate

09/27/2006