ANTONIA JOHANNA CLOS - Registered Nurse License in Wisconsin | # 041201411

ANTONIA JOHANNA CLOS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201411

License Status

INACTIVE

Business

N

First Name

ANTONIA JOHANNA

Last Name

CLOS

Business Name

ANTONIA JOHANNA CLOS

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/31/1988

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006