THOMAS JOHN BERTHOLD - Registered Nurse License in Wisconsin | # 041196215

THOMAS JOHN BERTHOLD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196215

License Status

INACTIVE

Business

N

First Name

THOMAS JOHN

Last Name

BERTHOLD

Business Name

THOMAS JOHN BERTHOLD

Original Issue Date

08/06/1980

Effective Date

08/06/1980

Expiration Date

05/31/1984

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006