KARLA LEA FOUNTAIN - Registered Nurse License in Wisconsin | # 041296805

KARLA LEA FOUNTAIN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296805

License Status

INACTIVE

Business

N

First Name

KARLA LEA

Last Name

FOUNTAIN

Business Name

KARLA LEA FOUNTAIN

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

05/31/1998

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006