JOHANNE WICKSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119416

License Status

NOT RENEWED

Business

First Name

JOHANNE

Last Name

WICKSTROM

Business Name

JOHANNE WICKSTROM

Original Issue Date

11/07/1966

Effective Date

11/07/1966

Expiration Date

05/01/1982

City

DEFIANCE

State

Zip

43512

County

OHIO

Ever Disciplined

LastModifiedDate

09/27/2006