SHIRLEY PETROVICH - Registered Nurse License in Wisconsin | # 043013920

SHIRLEY PETROVICH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013920

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY

Last Name

PETROVICH

Business Name

SHIRLEY PETROVICH

Original Issue Date

10/07/1965

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005