THOMAS JAMES KAVANAUGH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003772

License Status

INACTIVE

Business

First Name

THOMAS

Middle

JAMES

Last Name

KAVANAUGH

Business Name

THOMAS JAMES KAVANAUGH

Original Issue Date

08/31/2001

Effective Date

03/30/2010

Expiration Date

05/31/2012

City

MILTON

State

Zip

53563

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/08/2012