CHARL MARIE GROOM - Registered Nurse License in Wisconsin | # 041138011

CHARL MARIE GROOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138011

License Status

INACTIVE

Business

N

First Name

CHARL MARIE

Last Name

GROOM

Business Name

CHARL MARIE GROOM

Original Issue Date

11/24/1970

Effective Date

11/24/1970

Expiration Date

05/31/1992

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006