JEREMIAH DAVID MONDRAGON HALASE - Registered Nurse License in Wisconsin | # 041419645

JEREMIAH DAVID MONDRAGON HALASE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419645

License Status

NOT RENEWED

Business

N

First Name

JEREMIAH

Middle

DAVID

Last Name

MONDRAGON HALASE

Business Name

JEREMIAH DAVID MONDRAGON HALASE

Original Issue Date

04/21/2014

Effective Date

04/21/2014

Expiration Date

05/31/2016

State

WI

Ever Disciplined

N

LastModifiedDate

07/11/2016