GERSHOM J DOUGLAS - Registered Nurse License in Wisconsin | # 041436455

GERSHOM J DOUGLAS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041436455

License Status

NOT RENEWED

Business

N

First Name

GERSHOM

Middle

J

Last Name

DOUGLAS

Business Name

GERSHOM J DOUGLAS

Original Issue Date

11/05/2015

Effective Date

11/05/2015

Expiration Date

05/31/2016

State

WI

Ever Disciplined

N

LastModifiedDate

07/11/2016