LARISSA D GUNDLACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041041621

License Status

INACTIVE

Business

First Name

LARISSA D

Last Name

GUNDLACH

Business Name

LARISSA D GUNDLACH

Original Issue Date

05/16/1941

Effective Date

05/16/1941

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006