SUSAN MARIE FASIANG - Registered Nurse License in Wisconsin | # 041175973

SUSAN MARIE FASIANG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175973

License Status

INACTIVE

Business

N

First Name

SUSAN MARIE

Last Name

FASIANG

Business Name

SUSAN MARIE FASIANG

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/01/1982

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006